Informal Payments And Regulations In Chinas Healthcare System

Author : Jingqing Yang
Publisher : Springer
ISBN 13 : 9811021104
Total Pages : 287 pages
Book Rating : 4.07/5 ( download)

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Download or read book Informal Payments and Regulations in China's Healthcare System written by Jingqing Yang and published by Springer. This book was released on 2016-11-26 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text addresses the key issue of informal payments, or ‘red packets’, in the Chinese Healthcare system. It considers how transactions take place at the clinical level as well as their regulation. Analysing the practice from the perspectives of institutions and power structure, it examines how institutional changes in the pre-reform and reform era have changed the power structure between medical professions, patients and the Party-state, and how these changes have given rise and perpetuate the practice. Drawing from qualitative data from interviews of medical professionals, the author recognises the medical profession as a major player in the health care system and presents their perception of the practice as the taker of ‘red packets’ and their interactions with the patient and the state surrounding the illegal practice in an authoritarian power structure. The books considers the institutional reasons that motivate doctors to take, patients to give, and the government to "tolerate" red packets, arguing that the bureaucratization of the medical profession, society of acquaintances and shortage of quality of medical services jointly create an institutional setting that has given rise to these informal payments. Contributing to a rounded understanding of the problems of healthcare reform in China, this book is a key read for all scholars interested in the issue of informal payments and healthcare politics in transition economies.

Author : Lawton Robert Burns
Publisher : Cambridge University Press
ISBN 13 : 1316738396
Total Pages : 929 pages
Book Rating : 4.99/5 ( download)

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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 929 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.

Author : Sai Ma
Publisher : Rand Corporation
ISBN 13 : 0833044834
Total Pages : 59 pages
Book Rating : 4.39/5 ( download)

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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 with total page 59 pages. Available in PDF, EPUB and Kindle. Book excerpt: The world's two most populous countries, China and India, are undergoing dramatic demographic, societal, and economic transformations. However, the health status of residents of China and India still lags behind relative to other populations, and the health gains in each country have been uneven across subpopulations. Although they have achieved substantial advances in life expectancy and disease prevention since the middle of the 20th century, the Chinese and Indian health systems provide little protection against financial risk, and patient satisfaction is a lower priority than it should be. This paper compares the health systems of China and India to determine what approaches to improving health in these two countries do and do not work. In particular, the authors compare the health systems in China and India along three dimensions: policy levers, intermediate outcomes, and ultimate ends. The authors conclude that both countries must (1) restructure health care financing to reduce the burden of out-of-pocket medical care costs on individual patients; (2) increase access to care, especially in rural areas; (3) reduce dependence on fee-for-service contracts that promote overutilization of medical care; (4) build capacity for addressing and monitoring emerging diseases; and (5) match hospital capabilities with local needs.

Author : Debra Roter
Publisher : Bloomsbury Publishing USA
ISBN 13 : 0313390134
Total Pages : 256 pages
Book Rating : 4.35/5 ( download)

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Download or read book Doctors Talking with Patients/Patients Talking with Doctors written by Debra Roter and published by Bloomsbury Publishing USA. This book was released on 2006-08-30 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: The verbal and nonverbal exchanges that take place between doctor and patient affect both participants, and can result in a range of positive or negative psychological reactions-including comfort, alarm, irritation, or resolve. This updated edition of a widely popular book sets out specific principles and recommendations for improving doctor-patient communications. It describes the process of communication, analyzes social and psychological factors that color doctor-patient exchanges, and details changes that can benefit both parties. Medical visits are often less effective and satisfying than they would be if doctors and patients better understood the communication most needed for attainment of mutual health goals. The verbal and nonverbal exchanges that take place between doctor and patient affect both participants, and can result in a range of positive or negative psychological reactions-including comfort, alarm, irritation, or resolve. Talk, on both verbal and non-verbal levels, is shown by extensive research to have far-reaching impact. This updated edition of a widely popular book helps us understand this vital issue, and facilitate communications that will mean more effective medical care and happier, healthier consumers. Roter and Hall set out specific principles and recommendations for improving doctor-patient relationships. They describe the process of communication, analyze social and psychological factors that color doctor-patient exchanges, and detail changes that can benefit both parties. Here are needed encouragement and principles of action vital to doctors and patients alike. far-reaching impact.

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309477891
Total Pages : 399 pages
Book Rating : 4.95/5 ( download)

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Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Author : Ying-Kit Chan
Publisher : Walter de Gruyter GmbH & Co KG
ISBN 13 : 3110676133
Total Pages : 202 pages
Book Rating : 4.36/5 ( download)

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Download or read book Alternative Representations of the Past written by Ying-Kit Chan and published by Walter de Gruyter GmbH & Co KG. This book was released on 2020-11-23 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: The relationship between the Chinese nation and its recent past has been fraught with contradictions and tensions. This collection aims to make sense of this complex relationship and challenge the prevalent state-centric and nation-centric modes of history writing on modern China. It explores alternative representations of the past and the salience of political conflicts and competitive histories in China, highlighting the paradoxical similarities in such representations of the past from the late nineteenth century to the present. Ultimately, this book contributes to the ongoing discussion on the politics of interpreting the past and its many manifestations in both China and other societies. “This volume will contribute to the scholarly debate on the use of the past in national history.” Tze-ki Hon, City University of Hong Kong “Alternative Representations of the Past presents a collection of essays that critically examine the ways in which the contradicting and contested enterprise of history has been politicized in China. As ‘memory is past made present’, the meticulous re-evaluation of Chinese history by the contributors of this volume promises to offer readers valuable insights into contemporary China.” Chang-Yau Hoon, Associate Professor and Director, Centre for Advanced Research, Universiti Brunei Darussalam

Author :
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4./5 ( download)

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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.

Author : Wayne Soon
Publisher : Stanford University Press
ISBN 13 : 1503614018
Total Pages : 382 pages
Book Rating : 4.17/5 ( download)

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Download or read book Global Medicine in China written by Wayne Soon and published by Stanford University Press. This book was released on 2020-10-20 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 1938, one year into the Second Sino-Japanese War, the Chinese military found itself in dire medical straits. Soldiers were suffering from deadly illnesses, and were unable to receive blood transfusions for their wounds. The urgent need for medical assistance prompted an unprecedented flowering of scientific knowledge in China and Taiwan throughout the twentieth century. Wayne Soon draws on archives from three continents to argue that Overseas Chinese were key to this development, utilizing their global connections and diasporic links to procure much-needed money, supplies, and medical expertise. The remarkable expansion of care and education that they spurred saved more than four million lives and trained more than fifteen thousand medical personnel. Moreover, the introduction of military medicine shifted biomedicine out of elite, urban civilian institutions and laboratories and transformed it into an adaptive field-based practice for all. Universal care, practical medical education, and mobile medicine are all lasting legacies of this effort.

Author : Jiong Tu
Publisher : Springer
ISBN 13 : 9811307881
Total Pages : 242 pages
Book Rating : 4.81/5 ( download)

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Download or read book Health Care Transformation in Contemporary China written by Jiong Tu and published by Springer. This book was released on 2018-06-12 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: This multifaceted book examines the free market reform of the Chinese healthcare system in the 1980s and the more collectivist or socialist counter-reforms that have been implemented since 2009 to remedy some of the problems introduced by marketization. The book is based on an ethnographical study in a Chinese county from 2011 to 2012, which investigated local people’s experience of healthcare reforms and the various ways in which they have adapted their own behavior to the constraints and opportunities introduced by these reforms. It provides a vivid depiction of the morality and emotionality of people’s experiences of the Chinese healthcare system and the myriad frustrations and sometimes desperation it induces not only among patients with significant health problems and their families, but also healthcare practitioners caught between their desire to do right by their patients and the penalties they personally incur if they do not adhere to institutionalized cost-saving measures. The people’s experiences within China’s health sector presented reflect many similar experiences in the wider Chinese society. The book is thus a valuable resource for researchers and graduate students interested in China’s healthcare reforms and scholars concerned with issues of contemporary Chinese society.

Author : The World Bank;World Health Organization
Publisher : World Bank Publications
ISBN 13 : 146481323X
Total Pages : 410 pages
Book Rating : 4.38/5 ( download)

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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.