Health Service Delivery in China : A Literature Review

We report the results of a review of the Chinese- and English-language literatures on service delivery in China, asking how well China's health-care providers perform and what determines their performance. Although data and methodological limitations suggest caution in drawing conclusions, a cr...

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Main Authors:	Eggleston, Karen, Ling, Li, Qingyue, Meng, Lindelow, Magnus, Wagstaff, Adam
Format:	Journal Article
Language:	EN
Published:	2012
Subjects:	Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Formal and Informal Sectors Shadow Economy Institutional Arrangements O170 Socialist Institutions and Their Transitions: Consumer Economics Health Education and Training: Welfare, Income, Wealth, and Poverty P360
Online Access:	http://hdl.handle.net/10986/5681

id	okr-10986-5681
recordtype	oai_dc
spelling	okr-10986-56812017-12-14T04:30:20Z Health Service Delivery in China : A Literature Review Eggleston, Karen Ling, Li Qingyue, Meng Lindelow, Magnus Wagstaff, Adam Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Formal and Informal Sectors Shadow Economy Institutional Arrangements O170 Socialist Institutions and Their Transitions: Consumer Economics Health Education and Training: Welfare, Income, Wealth, and Poverty P360 We report the results of a review of the Chinese- and English-language literatures on service delivery in China, asking how well China's health-care providers perform and what determines their performance. Although data and methodological limitations suggest caution in drawing conclusions, a critical reading of the available evidence suggests that current health service delivery in China 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. By 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. Other elements of active purchasing by insurers could further improve outcomes. Rigorous evaluations, based on richer micro-level data, could considerably strengthen the evidence base for service delivery policy in China. 2012-03-30T07:34:01Z 2012-03-30T07:34:01Z 2008 Journal Article Health Economics 10579230 http://hdl.handle.net/10986/5681 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article China
repository_type	Digital Repository
institution_category	Foreign Institution
institution	World Bank
building	World Bank Open Knowledge Repository
collection	Online Access
language	EN
topic	Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Formal and Informal Sectors Shadow Economy Institutional Arrangements O170 Socialist Institutions and Their Transitions: Consumer Economics Health Education and Training: Welfare, Income, Wealth, and Poverty P360
spellingShingle	Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Formal and Informal Sectors Shadow Economy Institutional Arrangements O170 Socialist Institutions and Their Transitions: Consumer Economics Health Education and Training: Welfare, Income, Wealth, and Poverty P360 Eggleston, Karen Ling, Li Qingyue, Meng Lindelow, Magnus Wagstaff, Adam Health Service Delivery in China : A Literature Review
geographic_facet	China
relation	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description	We report the results of a review of the Chinese- and English-language literatures on service delivery in China, asking how well China's health-care providers perform and what determines their performance. Although data and methodological limitations suggest caution in drawing conclusions, a critical reading of the available evidence suggests that current health service delivery in China 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. By 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. Other elements of active purchasing by insurers could further improve outcomes. Rigorous evaluations, based on richer micro-level data, could considerably strengthen the evidence base for service delivery policy in China.
format	Journal Article
author	Eggleston, Karen Ling, Li Qingyue, Meng Lindelow, Magnus Wagstaff, Adam
author_facet	Eggleston, Karen Ling, Li Qingyue, Meng Lindelow, Magnus Wagstaff, Adam
author_sort	Eggleston, Karen
title	Health Service Delivery in China : A Literature Review
title_short	Health Service Delivery in China : A Literature Review
title_full	Health Service Delivery in China : A Literature Review
title_fullStr	Health Service Delivery in China : A Literature Review
title_full_unstemmed	Health Service Delivery in China : A Literature Review
title_sort	health service delivery in china : a literature review
publishDate	2012
url	http://hdl.handle.net/10986/5681
_version_	1610771073413939200

Health Service Delivery in China : A Literature Review

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