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Health System Efficiency In China
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Book Synopsis China's Healthcare System and Reform by : Lawton Robert Burns
Download or read book China's Healthcare System and Reform written by Lawton Robert Burns and published by Cambridge University Press. This book was released on 2017-01-26 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.
Book Synopsis Health System Efficiency in China by : Peipei Chai
Download or read book Health System Efficiency in China written by Peipei Chai and published by . This book was released on 2020 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: The pursuit of efficiency has become a core preoccupation of health policy makers in China where health expenditure has been growing at a double-digit rate since 2008 due to increasing health demands. The latest round of China's health system reform launched in 2009 accorded special focus on tackling rising medical costs and improving the efficiency of resource use and health care access issues, with the goal of eventually building a universal healthcare system by 2020. Further emphasis on health system efficiency and equity as a tool for achieving a range of ambitious health targets is evident in the Healthy China 2030 Plan. However, despite the focus and priority given to achieving value for money in the country's health sector reform agenda, to-date there is limited evidence on health system efficiency assessment in China. The available literatures are largely focused on institutional level technical efficiency; based on activities rather than outcomes, and even those that are outcome based ignore other roles that the health system plays, such as in the prevention and control of non-communicable diseases (NCDs), as they are largely focused on a single outcome (such as maternal or child health). The thesis adopts a holistic approach and focuses on outcomes related to child health, maternal health and NCDs as opposed to activities in measuring technical efficiency (TE). The concept of potentially avoidable hospitalisation (PAH) has also been borrowed to examine allocative efficiency (AE) in the health system. The data envelopment analysis (DEA) study suggests that due to wide-spread scale inefficiency in the country, the average bias-corrected overall technical efficiency (OTE) was around 0.80. Nearly 60% of the provinces operated at a decreasing return to scale (DRS), signifying a gain in efficiency could be achieved through downsizing the scale of operation. The average Malmquist Productivity Index (MPI) suggests deterioration in productivity over the study period, particularly after the implementation of the new healthcare system reform in 2009. Health resource allocation patterns and level of economic status of a province had great positive impact on OTE and scale efficiency (SE), while skill-mix, degree of urbanisation, ageing and the percentage of out-of-pocket (OOP) in total health expenditure (THE) were inversely associated with OTE and SE, as suggested by a Tobit regression analysis. PAH is highly prevalent and has increased faster in recent years, reaching 1.62 million episodes (8.6% of all hospitalisations) in 2017, a 4-fold increase over 2004. The incidence of PAH was positively associated with age, consumption expenditure per capita, and hospital bed density in local areas, while negatively associated with education attainment, self-reported health score, and physician density in the local area etc. At last, the main findings from all aspects of the research have been brought together to illustrate the original contributions this work makes to knowledge in the area of health system efficiency and productivity assessment in China. It also outlines the policy implications of the research findings, and future research directions.
Book Synopsis A Comparison of the Health Systems in China and India by : Sai Ma
Download or read book A Comparison of the Health Systems in China and India written by Sai Ma and published by Rand Corporation. This book was released on 2008-06-18 with total page 59 pages. Available in PDF, EPUB and Kindle. Book excerpt: The health status of residents of China and India lags behind relative to other populations, and health gains in each country have been uneven across subpopulations. Each health system provides little protection against financial risk, and patient satisfaction is a lower priority than it should be. This paper compares the Chinese and Indian health systems to determine what approaches to improving health in these two countries do and do not work.
Book Synopsis Health Care Systems Efficiency and Policy Settings by : OECD
Download or read book Health Care Systems Efficiency and Policy Settings written by OECD and published by OECD Publishing. This book was released on 2010-11-02 with total page 211 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores trends in health care outcomes and spending; ways of assessing efficiency; new indicators of health care policies and institutions; and the characteristics and performance of health care systems.
Book Synopsis Health Care Transition in Urban China by : Shenglan Tang
Download or read book Health Care Transition in Urban China written by Shenglan Tang and published by Routledge. This book was released on 2017-03-02 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: The on-going transition to a market economy in China is having a profound effect on health services. As a result, the government has made health one of the key policy areas, and there is now a general recognition of the need to reform urban health services. Multidisciplinary in scope, this exceptional volume draws on a prestigious report to explore how changes in health finance have affected the performance of urban health services in terms of equity and efficiency. Based on empirical evidence from the cities of Nantong, Jiangsu Province and Zibo, Shandong Province (selected for their innovative approach to health system development), the book offers an in-depth understanding of the relationship between transition, health reform and health system performance in urban settings. It features collaboration between European and Chinese academics and Chinese practitioners and officials, providing valuable background and contextual information on a complex system of healthcare, and presenting an analysis of policy impact and likely future direction.
Book Synopsis Health Policy Reform in China by : Jiwei Qian
Download or read book Health Policy Reform in China written by Jiwei Qian and published by World Scientific. This book was released on 2014 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most of the existing literature on health system reform in China deals with only one part of the reform process (for example, financing reform in rural areas, or the new system of purchasing pharmaceuticals), or consists of empirical case studies from particular cities or regions. This book gives a broad overview of the process of health system reform in China. It draws extensively both on the Western literature in health economics and on the experience of health care reform in a number of other countries, including the US, UK, Holland, and Japan, and compares China''s approach to health care reform with other countries. It also places the process of health system reform in the context of re-orienting China''s economic policy to place greater emphasis on equity and income distribution, and analyzes the interaction of the central and local governments in designing and implementing the reforms. This book will be of interest to policymakers, academics, students of health economics, health policy and health administration, and people who are interested in Chinese social policy. Sample Chapter(s). Chapter 1: Health Policy in China: Introduction and Background (189 KB). Contents: Introduction: Health Policy in China: Introduction and Background; Health Systems and Health Reform: International Models; Main Components of Health Reform: Strengthening China''s Social Insurance System; Providing Primary Care; The Hospital Sector and Hospital Reform; China''s National Drug Policy: A Work in Progress; Health Care and Harmonious Development in China: Health Policy and Inequality; Decentralized Government, Central-Local Fiscal Relations, and Health Reform; China''s Health System in the Future: Health Services in the Future: Social Insurance and Purchasing; China''s Future Health Care System: A Mixed Public-Private Model?. Readership: Policy makers, academics, students of health economics, health policy, and health administration, and people who are interested in Chinese social policy.
Author :The World Bank;World Health Organization Publisher :World Bank Publications ISBN 13 :146481323X Total Pages :410 pages Book Rating :4.4/5 (648 download)
Book Synopsis Healthy China: Deepening Health Reform in China by : The World Bank;World Health Organization
Download or read book Healthy China: Deepening Health Reform in China written by The World Bank;World Health Organization and published by World Bank Publications. This book was released on 2019-04-04 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis.
Book Synopsis Reforming China's Healthcare System by : China Development Research Foundation
Download or read book Reforming China's Healthcare System written by China Development Research Foundation and published by Routledge. This book was released on 2017-10-16 with total page 720 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although China’s new healthcare reform, launched in 2009, has achieved remarkable results in improving China’s medical and healthcare system, it is recognised that there is still room for further improvement. This is especially important as China’s population ages, the prevalence of chronic diseases increases and environment-related health risks worsen. This book reports on a major international research project which examined health trends, modes of health promotion, health finance systems, medical and healthcare innovations and environment-related health risks in China. For each of these key areas, the book considers the current situation in China and likely future trends, explores best practice from a wide range of foreign countries and puts forward proposals for improvements. Overall, the book provides a major assessment of China’s medical and healthcare system and how it should be reformed.
Book Synopsis Reforming China's Rural Health System by :
Download or read book Reforming China's Rural Health System written by and published by World Bank Publications. This book was released on 2009-01-01 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 1978 when it embarked on sweeping agricultural and industrial reforms, China's economic growth has been remarkable. Its success in transforming itself within just three decades from a very poor low-income country to a successful middle-income country is unparalleled. During this period, however, and in contrast to the first 30 years of the People's Republic, progress in the health sector has been disappointing. For example, during the period 1980-2007, China increased its income per head as a percentage of the OECD average from 3 percent to 15 per cent, but infant mortality fell no faste.
Book Synopsis China's Urban Health Care Reform by : Chack-kie Wong
Download or read book China's Urban Health Care Reform written by Chack-kie Wong and published by Lexington Books. This book was released on 2006 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors find that economic growth does not automatically improve health care, and that prioritizing health care as China has done does not necessarily lead to cost efficiency and equity in health care for the whole nation.
Book Synopsis Healthcare Reform in China by : Carine Milcent
Download or read book Healthcare Reform in China written by Carine Milcent and published by Springer. This book was released on 2018-02-14 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: How efficient is the Chinese healthcare system? Milcent examines the medication market in China against the global picture of healthcare organization, and how public healthcare insurance plans have been implemented in recent years, as well as reforms to tackle hospital inefficiency. Healthcare reforms, demographic changes and an increase in wealth inequity have altered healthcare preferences, which need to be addressed. Significantly, the patient–medical staff relationship is analysed, with new proposals for different lines of communication. Milcent puts forward digital healthcare in China as a tool to solve inefficiency and rising tensions, and generate profit. Where China is leading in the digitalization of healthcare, other countries can learn important lessons. Chinese social models are also put into context with respect to current reforms and experimentation.
Book Synopsis Answering the New Challenges of Health Policy in China by : Shuai Yang
Download or read book Answering the New Challenges of Health Policy in China written by Shuai Yang and published by . This book was released on 2012 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis builds a hospital benchmarking methodology and implements it in the Chinese and French cases in order to compare performances amongst hospitals and figure out the driving forces behind performance differentials. In a first step, stylized facts are used to analyze the evolution of Chinese people's new health care needs and China's health system. Then, after a review of the current theories and practices of hospital benchmarking, a methodology is proposed in order to calculate and compare average costs in cross-section and inter-temporal analyses. The further decomposition of average costs in case-mix effects and cost structure effects allows studying the determinants of hospital performance while taking into account supply and demand factors. We first apply our model to a French hospital. Five inputs and six disease related groups in the field of maternal service are selected to measure differences in average costs in spatial then longitudinal empirical settings. We find that the average cost of the hospital under assessment is higher than the national reference, which results from both case-mix effect and cost structure effect. By decomposing the cost structure, we find that the price effect and quantity effect have opposite impacts on the hospital under estimation. The results of the longitudinal comparison show that the performance becomes poorer at time t versus time t-1. The case-mix effect appears to be responsible for the rising average cost, while the hospital under assessment shows cost advantage at time t versus time t-1. The second application deals with the impacts of case-mix effect and cost structure effect on hospital average cost in the Chinese, from a policy perspective. The results show that the spatial difference in health care needs leads to the huge variety of performance between rural and urban hospital through the case-mix effect. The inter-temporal simulations also testify the existence of the epidemiological transition where non communicable diseases now dominate both in urban and rural areas (though at different rates). We also investigate a policy trend towards specialization of general hospitals and exemplify to extent to which it can lead to significant changes in the case-mix of the hospital, which eventually results in differentiated average costs. Then, we try to simulate and analyze the effectiveness and quality of reform policy by isolating the cost structure effect. At last, the interaction between case-mix effect and cost structure effect are verified and the policy implications are discussed accordingly.
Book Synopsis The Chinese Health System in Transition by : Lijie Fang
Download or read book The Chinese Health System in Transition written by Lijie Fang and published by Springer. This book was released on 2018-11-11 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an overview of the ongoing transition in China’s health system, especially focusing on the new healthcare reform initiated in 2009. First, it reviews the changes in China’s healthcare system from the 1950s to 2008, establishing the situation when the reform was introduced. The book subsequently analyzes the social and economic context in which the health system is embedded. Since the primary focus is on the new healthcare reform, the book introduces the blueprint and the year-for-year development of the new healthcare reform, as well as the specific reforms in health financing, public hospitals, and primary care. Given its central importance in the health system, the book also described major trends in long-term care in the past several years. In addition, it examines the health policy-making process with a case study of the New Cooperative Medical Scheme of China. Lastly, the book assesses the performance of China’s health system and predicts future developmental trends.
Book Synopsis Extending Health Insurance to the Rural Population by :
Download or read book Extending Health Insurance to the Rural Population written by and published by World Bank Publications. This book was released on 2007 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: In 2003, after over 20 years of minimal health insurance coverage in rural areas, China launched a heavily subsidized voluntary health insurance program for rural residents. The authors use program and household survey data, as well as health facility census data, to analyze factors affecting enrollment into the program and to estimate its impact on households and health facilities. They obtain estimates by combining differences-in-differences with matching methods. The authors find some evidence of lower enrollment rates among poor households, holding other factors constant, and higher enrollment rates among households with chronically sick members. The household and facility data point to the scheme significantly increasing both outpatient and inpatient utilization (by 20-30 percent), but they find no impact on utilization in the poorest decile. For the sample as a whole, the authors find no statistically significant effects on average out-of-pocket spending, but they do find some-albeit weak-evidence of increased catastrophic health spending. For the poorest decile, by contrast, they find that the scheme increased average out-of-pocket spending but reduced the incidence of catastrophic health spending. They find evidence that the program has increased ownership of expensive equipment among central township health centers but had no impact on cost per case.
Book Synopsis Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes) by :
Download or read book Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes) written by and published by World Scientific. This book was released on 2019-11-25 with total page 1278 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the past three decades, health care systems in the East Asian regions of China, Japan, South Korea, and Taiwan have undergone major changes. Each system has its unique achievements and challenges. Global health care policymakers are increasingly interested in understanding the changes that have taken place in these four systems. This four-volume reference set is designed to help health care professionals, academics, policymakers, and general readers gain a good grasp of the background and latest developments in the health care systems of China, Japan, South Korea, and Taiwan. This reference set provides an in-depth comparative health policy analysis and discussion of health care reform strategies in each of these systems. One unique feature of this set is that each volume has been edited by a leading scholar who has been deeply involved in the development of the health care system in that particular region. Each of these editors also has invited both scholars and practitioners to provide a first-hand description and analysis of key health care reform issues in that system. The many examples provided in each volume demonstrate how findings of evidence-based policy research can be implemented into policy practice.Volume 1 describes and discusses China's ambitious and complex journey of health care reform since 2009. The Chinese government has achieved universal health insurance coverage and has embarked on reforms of the service delivery system and provider payment methods that are aimed at controlling health expenditure growth and improving efficiency. This volume includes pilot and social experiments initiated by the government and researchers and their evaluations that have guided the formulation of health reform policies. It provides information on how to make reforms work at the local and provincial levels. The findings detailed in this volume will contribute to a global knowledge base in health care reforms.Volume 2 provides a comprehensive review and evaluation of the Japanese health care system. Japan has a long history of health care system development and provision of universal health coverage, with a mature and well-developed health care system among East Asian countries. However, due to increases in health care costs, economic stagnation and the country's rapidly aging population, Japan has undergone significant health care reform during the last two decades, both in the delivery as well as financing of health services in its hospital sector, medical technology sector and long-term care insurance. Despite these challenges and reforms, health outcomes among the Japanese population have been progressively among the best in the world. This volume shows how policy research can lead to policy analysis, implementation and assessment. It also provides valuable lessons learnt for mutual learning among other health care systems.Volume 3 offers a comprehensive review of the developments in South Korea's national health insurance system since 1989 in terms of financing, delivery systems, and outcomes. The volume analyzes the efficiency of cost and service delivery by public sectors versus private sectors. It points out areas of challenge to future Korean health care reform. Chapter authors in this volume are leading experts involved in Korean health care policy implementation.Volume 4 reviews the development and achievements of Taiwan Health Insurance since 1995. Because of its continuous reform in payment, services delivery, and pharmaceutical technology, Taiwan has been considered a model example of universal health insurance among global health systems. This volume shows the processes used to translate policy research findings into policy changes. While the health care reform in Taiwan is ongoing, the Taiwan example provides a real-world and practical understanding of health care system changes.In summary, this four-volume set makes an outstanding contribution to health care system reform and policy research, based on solid scholarly work. It also introduces policy researchers and academic communities to current debates about health systems, health financing, and universal health coverage. This reference volume is a must for anyone keen on East Asia's health care system reform dynamics and changing scene.
Book Synopsis The problems of China's Health care system by : Abdula Hamed
Download or read book The problems of China's Health care system written by Abdula Hamed and published by diplom.de. This book was released on 2010-03-04 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inhaltsangabe:Abstract: A couple of dramatic scenes were seen in China and also after getting more information about the problems of the healthcare system of China the decision were created to learn more about the healthcare system of China for being able to present solutions for the general problems. Trough the change in 1978 from communism to the implementation of the economic reforms by Deng Xiaoping the media all around the world is talking about the incredible increasing of China. The changes to liberalized trade principle waged to decreased poverty levels and determine China on the path to economic sharpness. There is no doubt that China ushered in an era of unprecedented receptivity to foreign leverage. But beside the positive effects of the reform it also showed massive change within the once centralized medical system. Even though many efforts of the government some sections of the population are at a disadvantage. The implementation of the economic reforms have been a blessing for the Chinese as well as the improved reforms concerning to the healthcare system. On the other hand through the higher quality of the healthcare system the access is very difficult due rising costs. In that research it will be schematize the misbehaviour of many farmers concerning to health and disease and it will be shown that the present health care system that is working in the shadow of the centralized state which is managed by the government, is not the efficient way concerning to the rising costs. Furthermore solution and suggestions for improvement which could lead to an improvement in the health care system in China are introduced. Inhaltsverzeichnis:Inhaltsverzeichnis: Kurzfassung2 Abstract3 Eidesstattliche Erklärung4 Table of content5 List of abbreviations7 Foreword8 1.Introduction9 2.China's healthcare organisation12 2.1THE DEVELOPMENT PHASE OF THE HEALTHCARE SYSTEM12 2.2CHINA'S HEALTHCARE SYSTEM13 2.3THE HEALTH CARE FINANCING SYSTEM OF CHINA16 2.4THE HEALTHCARE INSURANCE OF CHINA18 2.4.1Basic medical insurance for urban workers18 2.4.2Basic medical insurance for urban residents20 2.4.3The rural cooperative medical care system23 2.4.4The survey of University students' free medical care system27 2.4.5Survey of children's medical insurance28 2.4.6Survey of medical services for foreigners30 2.5REFUND OF COSTS THROUGH THE HEALTHCARE INSURANCE33 2.5.1The doctor choice and hospital choice behaviour in China's New Cooperative Medical [...]
Book Synopsis National Health Services: Efficiency, Welfare and Economy by : María Del Carmen Valls Martínez
Download or read book National Health Services: Efficiency, Welfare and Economy written by María Del Carmen Valls Martínez and published by Frontiers Media SA. This book was released on 2023-02-10 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt:
