Health Service Delivery in China: A Literature Review
AbstractThe authors report the results of a review of the Chinese-language and English-language literatures on service delivery in China, asking how well China's health care providers perform, what determines their performance, and how the government can improve it. They find current performance 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. In 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 toward prospective payments. Active purchasing by insurers could further improve outcomes.
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Bibliographic InfoPaper provided by The World Bank in its series Policy Research Working Paper Series with number 3978.
Date of creation: 01 Aug 2006
Date of revision:
Health Monitoring&Evaluation; Health Law; Health Economics&Finance; Health Systems Development&Reform; Population Policies;
Other versions of this item:
- Karen Eggleston & Li Ling & Meng Qingyue & Magnus Lindelow & Adam Wagstaff, 2008. "Health service delivery in China: a literature review," Health Economics, John Wiley & Sons, Ltd., John Wiley & Sons, Ltd., vol. 17(2), pages 149-165.
- NEP-ALL-2006-08-05 (All new papers)
- NEP-CNA-2006-08-05 (China)
- NEP-DEV-2006-08-05 (Development)
- NEP-HEA-2006-08-05 (Health Economics)
- NEP-SEA-2006-08-05 (South East Asia)
- NEP-TRA-2006-08-05 (Transition Economics)
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