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Health servicedelivery in China: aliterature review Karen EgglestonLi LingQingyue Meng2007 год

Health service delivery in China: a literature review

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Аннотация: Abstract 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. Copyright © 2007 by the International Bank for Reconstruction and Development/The World Bank, 1818 H Street, NW, Washington, DC 20433, U.S.A. Published by John Wiley & Sons, Ltd.
Год издания: 2007
Авторы: Karen Eggleston, Li Ling, Qingyue Meng, Magnus Lindelöw, Adam Wagstaff
Издательство: Wiley
Источник: Health Economics
Ключевые слова: Healthcare Systems and Reforms, Healthcare Policy and Management, Global Health Care Issues
Другие ссылки: Health Economics (HTML)
RePEc: Research Papers in Economics (HTML)
The World Bank Open Knowledge Repository (World Bank) (PDF)
The World Bank Open Knowledge Repository (World Bank) (HTML)
CiteSeer X (The Pennsylvania State University) (PDF)
CiteSeer X (The Pennsylvania State University) (HTML)
RePEc: Research Papers in Economics (HTML)
PubMed (HTML)