Reforming China's Rural Health System

Author: N.A

Publisher: World Bank Publications

ISBN: 0821379836

Category: Medical

Page: 248

View: 2875

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.

China's Healthcare System and Reform

Author: Lawton Robert Burns,Gordon G. Liu

Publisher: Cambridge University Press

ISBN: 1316738396

Category: Business & Economics

Page: N.A

View: 1644

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.

Reforming China's Healthcare System

Author: China Development Research Foundation

Publisher: Routledge

ISBN: 1351731270

Category: Social Science

Page: 644

View: 5773

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.

Transforming Health Markets in Asia and Africa

Improving Quality and Access for the Poor

Author: Gerald Bloom,Barun Kanjilal,Henry Lucas,David H. Peters

Publisher: Routledge

ISBN: 1136238239

Category: Medical

Page: 198

View: 7392

There has been a dramatic spread of health markets in much of Asia and Africa over the past couple of decades. This has substantially increased the availability of health-related goods and services in all but the most remote localities, but it has created problems with safety, efficiency and cost. The effort to bring order to these chaotic markets is almost certain to become one of the greatest challenges in global health. This book documents the problems associated with unregulated health markets and presents innovative approaches that have emerged to address them. It outlines a framework that researchers, policy makers and social entrepreneurs can use to analyse health market systems and assess the likely outcome of alternative interventions. The book presents a new way of understanding highly marketised health systems, applies this understanding to an analysis of health markets in countries across Asia and Africa and identifies some of the major new developments for making these markets perform better in meeting the needs of the poor. It argues that it is time to move beyond ideological debates about the roles of public and private sectors in an ideal health system and focus more on understanding the operation of these markets and developing practical strategies for improving their performance. This book is ideal reading for researchers and students in public health, development studies, public policy and administration, health economics, medical anthropology, and science and technology studies. It is also a valuable resource for policy makers, social entrepreneurs, and planners and managers in public and private sector health systems, including pharmaceutical companies, aid agencies, NGOs and international organisations.

China's Rural Health System in a Changing Institutional Context

Author: Gerald Bloom,Jing Fang

Publisher: N.A


Category: China

Page: 34

View: 5558

China's rural health services are experiencing problems associated with the transition to a market economy. The cost of care has risen rapidly and arrangements for local health insurance have collapsed. Government health budgets have lagged behind the rise in costs. Major illness has become an important precursor of household poverty. Policy-makers acknowledge that something has to be done to improve access to effective services at an affordable cost. Government policy statements have articulated a vision of a future health system. Few disagree with this vision but people do disagree about how to attain it. Chinese health policy analysts have begun to ask fundamental questions about the role of government, forms of facility ownership and alternative health financing mechanisms. This paper argues that the health sector's problems are best understood in the context of China's attempt to create institutional arrangements appropriate to a market economy. It suggests that the performance of rural health services will be strongly influenced by the degree to which rules-based local administrative and regulatory systems and local accountability mechanisms become established.

Health Financing in the Republic of Gabon

Author: Karima Saleh,Bernard Couttolenc F.,Helene Barroy

Publisher: World Bank Publications

ISBN: 1464802904

Category: Business & Economics

Page: 152

View: 8696

Gabon is an upper middle-income country, with reasonable spending on health, however, its health outcomes resemble that of a country that is low / low-middle income. Where has Gabon gone wrong, and what are the challenges that Gabon is facing in improving health outcomes?

Reforming China

Major Events (1992-2004)

Author: Peng Sen

Publisher: Paths International Ltd

ISBN: 9814298476


Page: 576

View: 1199

An authoritative chronicle of China's economic reform. This book chronicles the dramatic events that have taken place since China opened up to the world in 1978 and adopted a policy of economic reform. It records how between 1992 and 2004 changes in economic policies were drafted, brought into law and then executed.

Health Policy Reform in China

A Comparative Perspective

Author: Jiwei Qian,Åke Blomqvist

Publisher: World Scientific

ISBN: 9814425907

Category: Business & Economics

Page: 364

View: 4964

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. Contents:Introduction:Health Policy in China: Introduction and BackgroundHealth Systems and Health Reform: International ModelsMain Components of Health Reform:Strengthening China's Social Insurance SystemProviding Primary CareThe Hospital Sector and Hospital ReformChina's National Drug Policy: A Work in ProgressHealth Care and Harmonious Development in China:Health Policy and InequalityDecentralized Government, Central-Local Fiscal Relations, and Health ReformChina's Health System in the Future:Health Services in the Future: Social Insurance and PurchasingChina'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. Keywords:Health Reform;China;Health Insurance;Public Hospital;Inequality;Primary CareKey Features:Provides a progress report on the implementation of major reform plans announced by the state in 2009Draws extensively on the international health economics literature and on the experience of major countries with health system reform to propose and predict future health policy directions for ChinaAnalyzes health policy as a key component of the broader re-orientation of Chinese economic policy toward more emphasis on equity and redistribution of real income, and focuses on the interaction between the state and local government in the processReviews: “Professor Åke Blomqvist and Dr Jiwei Qian have produced a high-quality research on China's health policies and health system. The book places China in the international context, comparing China with European states and America. The authors also consider health policy within the broader framework of inequality and social policy, and explore the potential role of the private sector in a mixed system. The book is comprehensive, balanced and highly recommended. All who are interested in global health systems in general and China in particular should read it.“ Professor Zheng Yongnian East Asian Institute, National University of Singapore “China is amidst one of the deepest transformations of health care system ever tried anywhere and this is reflected in the burgeoning literature on the subject. In this volume, Qian and Blomqvist pull together the vast and disparate materials and discuss them from a comparative context. It is an essential reading for those interested in public policy in China.“ Professor M Ramesh LKY School of Public Policy, National University of Singapore

Advancing the Human Right to Health

Author: José M. Zuniga,Stephen P. Marks,Lawrence O. Gostin

Publisher: OUP Oxford

ISBN: 0191637645

Category: Medical

Page: 480

View: 3760

Advancing the Human Right to Health offers a prospective on the global response to one of the greatest moral, legal, and public health challenges of the 21st century - achieving the human right to health as enshrined in the Universal Declaration of Human Rights (UDHR) and other legal instruments. Featuring writings by global thought-leaders in the world of health human rights, the book brings clarity to many of the complex clinical, ethical, economic, legal, and socio-cultural questions raised by injury, disease, and deeper determinants of health, such as poverty. Much more than a primer on the right to health, this book features an examination of profound inequalities in health, which have resulted in millions of people condemned to unnecessary suffering and hastened deaths. In so doing, it provides a thoughtful account of the right to health's parameters, strategies on ways in which to achieve it, and discussion of why it is so essential in a 21st century context. Country-specific case studies provide context for analysing the right to health and assessing whether, and to what extent, this right has influenced critical decision-making that makes a difference in people's lives. Thematic chapters also look at the specific challenges involved in translating the right to health into action. Advancing the Human Right to Health highlights the urgency to build upon the progress made in securing the right to health for all, offering a timely reminder that all stakeholders must redouble their efforts to advance the human right to health.

The Millennium Development Goals for Health

Rising to the Challenges

Author: Adam Wagstaff

Publisher: World Bank Publications

ISBN: 9780821357675

Category: Business & Economics

Page: 186

View: 8472

Annotation Provides information on progress and trends, including poornonpoor disparities; health systems reform as a means of laying building blocks for the efficient and equitable delivery of effective interventions; the financing of health spending through domestic resources and aid; and improving the effectiveness of development assistance in health. Linking the health Millennium Development Goals? agenda with the broader poverty-reduction agenda, this book is a valuable resource for policymakers in developing countries and development practitioners working in the health, nutrition, and population sector as well as students and scholars of public health.

Unfinished Reforms in the Chinese Economy

Author: Jun Zhang

Publisher: World Scientific

ISBN: 9814434019

Category: Business & Economics

Page: 520

View: 969

China has quickly moved into a critical point in the sense that its past performance in economic growth and development has created so many unsolved problems, and for such problems to be addressed, a better understanding of these problems and a clear policy framework are required for policy makers to conduct reforms. Based on highOColevel empirical research on China''s economic development by each of the contributors, this edited book provides an in-depth and clear analysis of many of important issues facing China''s move to new phase of economic development and transformation, and discusses policy issues involved in further reforms.


Does Government Health and Education Spending Boost Consumption?

Author: Mr. Steven Barnett,Mr. Ray Brooks

Publisher: International Monetary Fund

ISBN: 1451918658

Category: Business & Economics

Page: 14

View: 6049

Consumption in China is unusually low and has continued to decline as a share of GDP over the past decade. A key policy question is how to reverse this trend, and rebalance growth away from reliance on exports and investment and toward consumption. This paper investigates whether the sizable increase in government social spending in recent years lowered precautionary saving and increased consumption. The main findings are that spending on health, but not education, had an impact on household behavior. The impact, moreover, is large. A one yuan increase in government health spending is associated with a two yuan increase in urban household consumption.

IDS Working Papers

Author: N.A

Publisher: N.A


Category: Banks and banking

Page: N.A

View: 8868

The Economics of Public Health Care Reform in Advanced and Emerging Economies

Author: David Coady,Mr. Benedict J. Clements,Mr. Sanjeev Gupta

Publisher: International Monetary Fund

ISBN: 1475583788

Category: Business & Economics

Page: 380

View: 6015

Health care reform will be a key fiscal policy challenge in both advanced and emerging economies in coming years. In the advanced economies, the health sector has been one of the main drivers of government expenditure, accounting for about half of the rise in total spending over the past forty years. These spending pressures are expected to intensify over the next two decades, reflecting the aging of the population, income growth, and continued technological innovations in health care. These spending increases will come at a time when countries need to undertake fiscal consolidation to reduce public debt ratios in the wake of the global financial crisis. In the emerging economies, health care reform is also a key issue, given substantial lags in health indicators and limited fiscal resources. For these economies, the challenge will be to expand public coverage without undermining fiscal sustainability. This book provides new insights into these challenges and potential policy responses, with cross-country analysis and case studies.

Health Financing and Delivery in Vietnam

Looking Forward

Author: Samuel S. Lieberman,Adam Wagstaff

Publisher: World Bank Publications

ISBN: 0821377833

Category: Business & Economics

Page: 171

View: 9982

Vietnam's successes in the health sector are legendary. Its rates of infant and under-five mortality are comparable to those of countries with substantially higher per capita incomes. However, challenges remain in how to further expand coverage, increase quality of care, and contain the rapidly increasing health care costs.

One Country, Two Societies

Rural-urban Inequality in Contemporary China

Author: Martin King Whyte

Publisher: Harvard University Press

ISBN: 9780674036307

Category: History

Page: 445

View: 4306

This timely and important collection of original essays analyzes Chinaâe(tm)s foremost social cleavage: the rural-urban gap. It is now clear that the Chinese communist revolution, though professing dedication to an egalitarian society, in practice created a rural order akin to serfdom, in which 80 percent of the population was effectively bound to the land. China is still struggling with that legacy. The reforms of 1978 changed basic aspects of economic and social life in Chinaâe(tm)s villages and cities and altered the nature of the rural-urban relationship. But some important institutions and practices have changed only marginally or not at all, and China is still sharply divided into rural and urban castes with different rights and opportunities in life, resulting in growing social tensions. The contributors, many of whom conducted extensive fieldwork, examine the historical background of rural-urban relations; the size and trend in the income gap between rural and urban residents in recent years; aspects of inequality apart from income (access to education and medical care, the digital divide, housing quality and location); experiences of discrimination, particularly among urban migrants; and conceptual and policy debates in China regarding the status and treatment of rural residents and urban migrants.

OECD Economic Surveys: China 2010

Author: OECD

Publisher: OECD Publishing

ISBN: 9789264076679


Page: 234

View: 6093

This 2010 edition of OECD's periodic review of China's economy finds that China's spectacular expansion has continued in recent years, making for impressive improvements in living standards. The slowdown associated with the global financial and ...

Managing Water on China's Farms

Institutions, Policies and the Transformation of Irrigation under Scarcity

Author: Jinxia Wang,Qiuqiong Huang,Jikun Huang,Scott Rozelle

Publisher: Academic Press

ISBN: 0128052945

Category: Science

Page: 354

View: 5956

Managing Water on China's Farms: Institutions, Policies and the Transformation of Irrigation under Scarcity is a comprehensive and current look at the water shortage problems in China. While China has emerged as a major player in the world economy, water is the most critical factor that limits the country’s further growth. China’s growing water problems also have a large impact worldwide, with public health as well as economic impacts. If China were to rely heavily on food produced outside of China, the massive volume of food imports would raise food prices internationally. This book examines a series of water issues, beginning with a description of the water shortage problems in China, particularly in the northern part of the country. It then looks at the government and farmers' responses and whether past policies have been effective in resolving the water problems. Managing Water on China’s Farms documents the change of existing and new water management institutional forms over time and across provinces throughout northern China, and then assesses the impacts of these changes in the rural sector. Finally, it examines potential solutions that the research has uncovered, answering the question: Who can build the bridge over China’s troubled waters? Using analyses from information collected firsthand in China’s rural villages, the series of surveys covers diverse geographic regions that are representative of north China and includes perspectives from multiple stakeholders such as village leaders, water managers, and farmers. The policy-oriented research and rich analysis in this book make it of interest to both policy makers and researchers with a focus on China water problems. This book can also be used in a Master or Ph.D. level resource economics course. Uses case studies including problem, factors, proposed solutions, and pros and cons of each to facilitate translational learning and application Uses analyses of firsthand data collected from sources of irrigation water, irrigation systems, and water users Covers governance and operation and maintenance (O and M) practices Provides an informative, quantitative, and rigorous analysis of survey results Provides practical and valuable data, including the detailed micro-level data that enables estimating strategies

Getting Health Reform Right

A Guide to Improving Performance and Equity

Author: Marc Roberts,William Hsiao,Peter Berman,Michael Reich

Publisher: Oxford University Press

ISBN: 0199888167

Category: Medical

Page: 352

View: 5619

This book provides a multi-disciplinary framework for developing and analyzing health sector reforms, based on the authors' extensive international experience. It offers practical guidance - useful to policymakers, consultants, academics, and students alike - and stresses the need to take account of each country's economic, administrative, and political circumstances. The authors explain how to design effective government interventions in five areas - financing, payment, organization, regulation, and behavior - to improve the performance and equity of health systems around the world.