UID:
edocfu_9959242802302883
Format:
1 online resource (363 p.)
ISBN:
981-4425-89-3
Series Statement:
Series on Contemporary China, Volume 36
Content:
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
Note:
Description based upon print version of record.
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About the Authors; CONTENTS; Part I: Introduction; Chapter 1. Health Policy in China: Introductionand Background; 1. Introduction; 2. The Health Care System Since the 1980s:Decentralization, Deregulation, and Reduced Subsidies; 2.1. Reduced subsidies and higher patient charges; 2.2. Collapse of the rural Cooperative Medical Schemes; 2.3. Reduced insurance coverage in urban areas; 2.4. Summary: A surging economy, worsening health care; 3. Do Market Mechanisms Work in Health Care?; 3.1. Some health services are public goods
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3.2. Patients as buyers of health services: Informationasymmetry and competition3.3. Risk pooling and private insurance markets; 4. Conclusion and the Way Forward; 4.1. The rest of the book; Chapter 2. Health Systems and Health Reform:International Models; 1. Introduction; 2. Alternative Models of Health System Management; 2.1. Features of an equitable and efficient health care system; 2.2. The U.K. system; 2.3. The Dutch model; 2.4. A digression: Why not use the U.S. or Japanese systems as a model?; 2.5. What is wrong with the U.S. model?; 2.6. The Japanese system as a model?
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2.7. Are health care systems converging?3. Why are Vested Interests So Powerful in Health Care?; 3.1. Government policy and vested interests: General considerations; 3.2. Vested interests and economic policy in China; 3.3. Vested interests in the health sector; 3.4. Health policy and regulatory capture; 3.5. Vested interests in health care: Will China's experience be similar?; 3.6. Conclusion: Which model for the long run?; Appendix. Growing Health Care Costs: Wasteful or Economically Efficient?; A.1. Population aging; A.2. Income and relative price effects; A.3. Changing technology
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A.4. Conclusion: Is the growth in health care spending sustainable?Part II: Main Components of Health Reform; Chapter 3. Strengthening China's Social Insurance System; 1. Introduction: The Issues; 1.1. Government financing of health care: From general revenue or social insurance?; 1.2. Government-sponsored risk pooling: A single plan or multiple plans?; 1.3. Medical savings accounts and the Singapore model; 2. Reforming Urban Health Care: The Basic Health Insurance Scheme; 2.1. The first step: Urban employees; 2.2. The BHI in international perspective; 2.3. BHI and purchasing
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2.4. The BHI plans since 2000: Differentiation and growth3. Risk Pooling in Rural Areas: The New CooperativeMedical Scheme; 3.1. Integration of financing and health services productionin rural areas; 3.2. Varieties of NCMS models; 3.3. Implementing rural health reform: A role for the private sector?; 4. Filling the Gaps: The Urban Resident Basic Medical Insurance; 4.1. Risk pooling in China's health care system: Toward universal coverage; 5. The 2009 State Council Guidelines: New Directionsfor Health Reform?; 5.1. The way forward; Chapter 4. Providing Primary Care; 1. Introduction
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2. Definition of Primary Care
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English
Additional Edition:
ISBN 981-4425-88-5
Language:
English
