This study examines and explains the relationship between social health insurance (SHI) participation and out-of-pocket expenditures (OOP) as well as the mediating role the institutional arrangement of SHI plays in this relationship in China. Embracing a new institutionalist approach, it develops two analytical perspectives: determination, which identifies the mechanisms of social health insurance, and strategic interaction, which explores the interaction among social health insurance agencies, healthcare providers, patients, and institutions. It reveals the poor performance of social health insurance in decreasing out-of-pocket health expenditures caused by a trade-off between the reimbursement, behavior management, and purchasing mechanisms of social health insurance programs. Further, it finds that the inequitable allocation of healthcare resources and patients’ concerns regarding the benefits offset the strategies used by social health insurance agencies to manage care-seeking behavior. It also discovers that the complex interactions between insurance agencies, doctors, patients and a larger disenabling institutional surrounding restricts the purchasing efficiency of social health insurance. This book is characterized by its unique synthesis of the role of the institutional arrangement of social health insurance in China, the interaction between the stakeholders in health sectors, and of the relationship between healthcare institutions, actors, and policy outcomes. Providing a comprehensive overview, it enables scholars and graduate students to understand the ongoing process of social health insurance reform as well as the dynamics of health cost inflation in China. It also benefits policymakers by recommending a single-payer model based on an evidence-based investigation.
Автор: Gao Название: Tax Reform and Policy in China ISBN: 1138899585 ISBN-13(EAN): 9781138899582 Издательство: Taylor&Francis Рейтинг: Цена: 24499.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: Fiscal policy has always been a primary measure of macroeconomic control. Within the framework of macroeconomic analysis, this book reviews the evolution of China`s fiscal policy, and the main changes China`s economy has experienced since 1990s in a chronological order.
Описание: In this updated edition of Health Care Reform and American Politics: What Everyone Needs to Know (R), Lawrence R. Jacobs and Theda Skocpol provide a concise and accessible overview of the politics of health care policy.
Автор: Paton Название: The Politics of Health Policy Reform in the UK ISBN: 1137473428 ISBN-13(EAN): 9781137473424 Издательство: Springer Рейтинг: Цена: 16070.00 р. Наличие на складе: Есть у поставщика Поставка под заказ.
Описание: This book explains the politicsof thirty years of ‘market reform’ in the English NHS, with the rest of the UKa counter-factual. Paton shows how each subsequent reform has been shaped bythe confusion left by the previous reform. The long-term ideology has beenanti-statist but policy-making at each stage of ‘reform’ has been driven byshort-term politics. The outcome in England has been ever-increasing complexityin the NHS, with significantly increased management costs and no commensuratebenefit.
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