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Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China

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dc.contributor.authorLiu, Gordon G.
dc.contributor.authorLi, Lin
dc.contributor.authorHou, Xiaohui
dc.contributor.authorXu, Judy
dc.contributor.authorHyslop, Daniel
dc.date.accessioned2012-03-30T07:29:22Z
dc.date.available2012-03-30T07:29:22Z
dc.date.issued2009
dc.description.abstractThe health care delivery system in China, which is dominated by state hospitals, is being increasingly challenged by public concerns: it is too expensive and too inaccessible, a complaint commonly phrased as "kai bin nan, kan bin gui" in Chinese. As the penetration of for-profit hospitals has gradually increased, there is a growing need for policy research to assess their impact on medical spending from the patient perspective. Using panel data at the provincial level in China, this paper examines the impact of the penetration of for-profit hospitals on average medical expenditures for both outpatient and inpatient services in public general hospitals. Based on fixed-effect model estimates, the study shows that the penetration of for-profit hospitals has lowered the average medical expenditures for both inpatient and outpatient services across regions, especially for pharmaceuticals. Together with other results, this study finds no evidence that private for-profit hospitals drive up average medical expenditures while serving their profit-maximization objectives. Rather, they help increase the market supply of health care, which in turn better serves the increasing demand.en
dc.identifier.citationChina Economic Review
dc.identifier.issn1043951X
dc.identifier.urihttps://hdl.handle.net/10986/4712
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.subjectEconomic Development: Human Resources
dc.subjectHuman Development
dc.subjectIncome Distribution
dc.subjectMigration O150
dc.subjectEconomic Development: Regional, Urban, and Rural Analyses
dc.subjectTransportation O180
dc.subjectSocialist Systems and Transitional Economies: Urban, Rural, and Regional Economics P250
dc.subjectSocialist Institutions and Their Transitions: Consumer Economics
dc.subjectHealth
dc.subjectEducation and Training: Welfare, Income, Wealth, and Poverty P360
dc.titleSymposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in Chinaen
dc.title.alternativeChina Economic Reviewen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.doctypeJournal Article
okr.externalcontentExternal Content
okr.identifier.externaldocumentum1155
okr.journal.nbpages625-633
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.countryChina
okr.relation.associatedurlhttp://dx.doi.org/10.1016/j.chieco.2009.06.002
okr.relation.associatedurlhttp://search.ebscohost.com/login.aspx?direct=true&db=eoh&AN=1076137&site=ehost-live
okr.relation.associatedurlhttp://www.elsevier.com/wps/find/journaldescription.cws_home/620160/description#description
okr.volume20
relation.isAuthorOfPublication2d7bf586-0366-53b9-9625-7c13148c0b81
relation.isAuthorOfPublication.latestForDiscovery2d7bf586-0366-53b9-9625-7c13148c0b81
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