Publication:
Health Service Delivery in China : A Literature Review

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dc.contributor.authorEggleston, Karen
dc.contributor.authorLing, Li
dc.contributor.authorQingyue, Meng
dc.contributor.authorLindelow, Magnus
dc.contributor.authorWagstaff, Adam
dc.date.accessioned2012-03-30T07:34:01Z
dc.date.available2012-03-30T07:34:01Z
dc.date.issued2008
dc.description.abstractWe report the results of a review of the Chinese- and English-language literatures on service delivery in China, asking how well China's health-care providers perform and what determines their performance. Although data and methodological limitations suggest caution in drawing conclusions, a critical reading of the available evidence suggests that current health service delivery in China leaves room for improvement, in terms of quality, responsiveness to patients, efficiency, cost escalation, and equity. The literature suggests that these problems will not be solved by simply shifting ownership to the private sector or by simply encouraging providers--public and private--to compete with one another for individual patients. By contrast, substantial improvements could be (and in some places have already been) made by changing the way providers are paid--shifting away from fee-for-service and the distorted price schedule. Other elements of active purchasing by insurers could further improve outcomes. Rigorous evaluations, based on richer micro-level data, could considerably strengthen the evidence base for service delivery policy in China.en
dc.identifier.citationHealth Economics
dc.identifier.issn10579230
dc.identifier.urihttps://hdl.handle.net/10986/5681
dc.language.isoEN
dc.relation.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rights.holderWorld Bank
dc.subjectAnalysis of Health Care Markets I110
dc.subjectHealth: Government Policy
dc.subjectRegulation
dc.subjectPublic Health I180
dc.subjectFormal and Informal Sectors
dc.subjectShadow Economy
dc.subjectInstitutional Arrangements O170
dc.subjectSocialist Institutions and Their Transitions: Consumer Economics
dc.subjectHealth
dc.subjectEducation and Training: Welfare, Income, Wealth, and Poverty P360
dc.titleHealth Service Delivery in China : A Literature Reviewen
dc.title.alternativeHealth Economicsen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.doctypeJournal Article
okr.externalcontentExternal Content
okr.identifier.externaldocumentum635
okr.journal.nbpages149-165
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.countryChina
okr.relation.associatedurlhttp://search.ebscohost.com/login.aspx?direct=true&db=eoh&AN=0962516&site=ehost-live
okr.relation.associatedurlhttp://www3.interscience.wiley.com/cgi-bin/jhome/5749
okr.volume17
relation.isAuthorOfPublicationd6df2a53-bb3c-5376-8494-5d7b3af636f6
relation.isAuthorOfPublication5d38fde2-5803-56c6-b733-3866ea5be265
relation.isAuthorOfPublication.latestForDiscoveryd6df2a53-bb3c-5376-8494-5d7b3af636f6
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