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This multifaceted book examines the free market reform of the Chinese healthcare system in the 1980s and the more collectivist or socialist counter-reforms that have been implemented since 2009 to remedy some of the problems introduced by marketization. The book is based on an ethnographical study in a Chinese county from 2011 to 2012, which investigated local people’s experience of healthcare reforms and the various ways in which they have adapted their own behavior to the constraints and opportunities introduced by these reforms. It provides a vivid depiction of the morality and emotionality of people’s experiences of the Chinese healthcare system and the myriad frustrations and sometimes desperation it induces not only among patients with significant health problems and their families, but also healthcare practitioners caught between their desire to do right by their patients and the penalties they personally incur if they do not adhere to institutionalized cost-saving measures. The people’s experiences within China’s health sector presented reflect many similar experiences in the wider Chinese society. The book is thus a valuable resource for researchers and graduate students interested in China’s healthcare reforms and scholars concerned with issues of contemporary Chinese society.
The lack of significant improvement in people’s health status and other mounting health challenges in China raise a puzzling question about the country’s internal transition: why did the reform-induced dynamics produce an economic miracle, but fail to reproduce the success Mao had achieved in the health sector? This book examines the political and policy dynamics of health governance in post-Mao China. It explores the political-institutional roots of the public health and health care challenges and the evolution of the leaders’ policy response in contemporary China. It argues that reform-induced institutional dynamics, when interacting with Maoist health policy structure in an authoritarian setting, have not only contributed to the rising health challenges in contemporary China, but also shaped the patterns and outcomes of China’s health system transition. The study of China’s health governance will further our understanding of the evolving political system in China and the complexities of China’s rise. As the world economy and international security are increasingly vulnerable to major disease outbreaks in China, it also sheds critical light on China’s role in global health governance.
How efficient is the Chinese healthcare system? Milcent examines the medication market in China against the global picture of healthcare organization, and how public healthcare insurance plans have been implemented in recent years, as well as reforms to tackle hospital inefficiency. Healthcare reforms, demographic changes and an increase in wealth inequity have altered healthcare preferences, which need to be addressed. Significantly, the patient–medical staff relationship is analysed, with new proposals for different lines of communication. Milcent puts forward digital healthcare in China as a tool to solve inefficiency and rising tensions, and generate profit. Where China is leading in the digitalization of healthcare, other countries can learn important lessons. Chinese social models are also put into context with respect to current reforms and experimentation.
The book addresses the prevalent digital transformation and focuses on its significant disruption in healthcare. In light of the distinctive characteristics and evolution of the Chinese healthcare industry, private multi-sided platform (MSP) companies emerge to offer novel values and explore the industry value chain. Drawing on the management and economics literature of MSPs, this book examines the selected Chinese MSPs and compares them with the counterpart MSPs in the U.S. This analysis highlights how the unfolding healthcare disruption is valuable for both scholars and practitioners to understand the trends and to take effective actions. “Disruptive Innovation through Digital Transformation: Multi-Sided Platforms of E-Health in China” provides readers in the developing and developed countries with insights on how to approach the current multi-sided platform and to resolve the current problems to better serve customers and patients in the healthcare market.
This book provides an overview of the ongoing transition in China’s health system, especially focusing on the new healthcare reform initiated in 2009. First, it reviews the changes in China’s healthcare system from the 1950s to 2008, establishing the situation when the reform was introduced. The book subsequently analyzes the social and economic context in which the health system is embedded. Since the primary focus is on the new healthcare reform, the book introduces the blueprint and the year-for-year development of the new healthcare reform, as well as the specific reforms in health financing, public hospitals, and primary care. Given its central importance in the health system, the book also described major trends in long-term care in the past several years. In addition, it examines the health policy-making process with a case study of the New Cooperative Medical Scheme of China. Lastly, the book assesses the performance of China’s health system and predicts future developmental trends.
Diseases are everyday, ordinary occurrences intimately related to people’s daily lives. However, as the metaphor of the “Sick Man of East Asia” emerged against the backdrop of a weak modern China, health care and the curing of diseases were turned into grand state politics with far-reaching implications. This book, starting with the argument for diseases being metaphors, describes and interprets such incidents in China’s history as the Abolishment of Traditional Chinese Medicine, the Patriotic Hygiene Campaign and the Cooperative Medical Services. In an effort to reveal the internal logic of disease politics in the transformation of the state-people relationship, the book analyzes key aspects including the politicization and inclusion of diseases in state governance, the double disciplining of hygiene, legitimacy construction of the state, the remaking of the nationals, and the expansion of the “publicness” of the state. The book argues that disease politics in modern China has developed following the path from nationals to the people, and then to citizens, or from crisis politics and mobilization politics to life politics. In addition, a marked change has occurred in China’s state building: increasingly standard, rationalized and institutionalized means have been employed while the non-standard means, such as large-scale mobilization and ideological coercion, had been historically used in China.
This book addresses contemporary public health challenges in China from an interdisciplinary perspective. These challenges include health service system, population ageing, food safety, substance abuse and its prevention and treatment, Buddhist delivery of elderly care, the development of professional healthcare social work, and the integration of Chinese Medicine in public health. The book brings together top-notch scholars, academics and professionals in each of these research areas to explore and reveal the complex and challenging task of addressing health-related issues in China.
This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.
This book explores the shifting nature of physician–patient relationship in China. Specifically, it takes the physician–patient relationship during the barefoot doctor program in 1968–1978, the marketization of healthcare in 1978–2002, and the healthcare reform in 2003–2020 as three historical periods, illustrating how the nature of the physician–patient relationship has changed over time. Analyzing the ways in which law and social policies—involving the doctrine of informed consent, public hospital reform, and systemic healthcare reform—have in different ways shaped and changed the practices of physicians and patients, which illustrates how the bond between them threatens to collapse. With a uniquely vivid depiction of Chinese healthcare issues, this book will interest sociologists, China scholars and more.
Most of the existing literature on health system reform in China deals with only one part of the reform process (for example, financing reform in rural areas, or the new system of purchasing pharmaceuticals), or consists of empirical case studies from particular cities or regions. This book gives a broad overview of the process of health system reform in China. It draws extensively both on the Western literature in health economics and on the experience of health care reform in a number of other countries, including the US, UK, Holland, and Japan, and compares China''s approach to health care reform with other countries. It also places the process of health system reform in the context of re-orienting China''s economic policy to place greater emphasis on equity and income distribution, and analyzes the interaction of the central and local governments in designing and implementing the reforms. This book will be of interest to policymakers, academics, students of health economics, health policy and health administration, and people who are interested in Chinese social policy. Sample Chapter(s). Chapter 1: Health Policy in China: Introduction and Background (189 KB). Contents: Introduction: Health Policy in China: Introduction and Background; Health Systems and Health Reform: International Models; Main Components of Health Reform: Strengthening China''s Social Insurance System; Providing Primary Care; The Hospital Sector and Hospital Reform; China''s National Drug Policy: A Work in Progress; Health Care and Harmonious Development in China: Health Policy and Inequality; Decentralized Government, Central-Local Fiscal Relations, and Health Reform; China''s Health System in the Future: Health Services in the Future: Social Insurance and Purchasing; China''s Future Health Care System: A Mixed Public-Private Model?. Readership: Policy makers, academics, students of health economics, health policy, and health administration, and people who are interested in Chinese social policy.