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China's health system and its reform: a review of recent studies

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Author Info

  • Adam Wagstaff
  • Winnie Yip
  • Magnus Lindelow
  • William C. Hsiao

Abstract

This paper provides a survey of the recent empirical research on China's ‘old’ health system (i.e. prior to the spate of reforms beginning in 2003). It argues that this research has enhanced our understanding of the system prior to 2003, in some cases reinforcing conclusions (e.g. the demand-inducement associated with perverse incentives) while in other cases suggesting a slightly less clear storyline (e.g. the link between insurance and out‐of‐pocket spending). It also concludes that the research to date points to the importance of careful evaluation of the current reforms, and its potential to modify policies as the rollout proceeds. Finally, it argues that the research on the pre‐2003 system suggests that while the recently announced further reforms are a step in the right direction, the hoped‐for improvements in China's health system will far more likely occur if the reforms become less timid in certain key areas, namely provider payments and intergovernmental fiscal relations. Copyright (C) 2009 John Wiley & Sons, Ltd.

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File URL: http://hdl.handle.net/10.1002/hec.1518
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Bibliographic Info

Article provided by John Wiley & Sons, Ltd. in its journal Health Economics.

Volume (Year): 18 (2009)
Issue (Month): S2 (July)
Pages: S7-S23

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Handle: RePEc:wly:hlthec:v:18:y:2009:i:s2:p:s7-s23

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Web page: http://www3.interscience.wiley.com/cgi-bin/jhome/5749

Related research

Keywords: China ; health reform ; health systems ; health insurance ; provider payments ; intergovernmental fiscal relations ;

References

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Citations

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Cited by:
  1. Winnie Yip & Adam Wagstaff & William C. Hsiao, 2009. "Economic analysis of China's health care system: turning a new page," Health Economics, John Wiley & Sons, Ltd., vol. 18(S2), pages S3-S6, July.
  2. Liu, Hong & Gao, Song & Rizzo, John A., 2011. "The expansion of public health insurance and the demand for private health insurance in rural China," China Economic Review, Elsevier, vol. 22(1), pages 28-41, March.
  3. Ng, Ying Chu, 2011. "The productive efficiency of Chinese hospitals," China Economic Review, Elsevier, vol. 22(3), pages 428-439, September.
  4. James P. Smith & John Strauss & Xiaoyan Lei & Albert Park & Yan Shen & James P. Smith & Zhe Yang & Yaohui Zhao, 2010. "Health Outcomes and Socio-Economic Status Among the Elderly in China: Evidence from the CHARLS Pilot," Working Papers 774, RAND Corporation Publications Department.
  5. Bai, Chong-En & Wu, Binzhen, 2014. "Health insurance and consumption: Evidence from China’s New Cooperative Medical Scheme," Journal of Comparative Economics, Elsevier, vol. 42(2), pages 450-469.
  6. Baeten, Steef & Van Ourti, Tom & van Doorslaer, Eddy, 2013. "Rising inequalities in income and health in China: Who is left behind?," Journal of Health Economics, Elsevier, vol. 32(6), pages 1214-1229.
  7. Zhang, Linxiu & Yi, Hongmei & Luo, Renfu & Liu, Changfang & Rozelle, Scott, 2012. "The Human Capital Roots of the Middle Income Trap: The Case of China," 2012 Conference, August 18-24, 2012, Foz do Iguacu, Brazil 131119, International Association of Agricultural Economists.
  8. Katsushi S. Imai & Jing You, 2013. "Poverty Dynamics of Households in Rural China," Discussion Paper Series DP2013-16, Research Institute for Economics & Business Administration, Kobe University, revised Jun 2013.
  9. Das Gupta, Monica & Ebenstein, Avraham & Sharygin, Ethan Jennings, 2010. "China's marriage market and upcoming challenges for elderly men," Policy Research Working Paper Series 5351, The World Bank.
  10. Bonatti, Luigi & Fracasso, Andrea, 2014. "Modeling the Transition Towards Renminbi's Full Convertibility: Implications for China’s Growth," MPRA Paper 54129, University Library of Munich, Germany.

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