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First published in 1999, this book constitutes a unique account of the development and reform of health care in Hong Kong. Its main focus is on policy developments since 1945. Victor Wong demonstrates the development of a two-tier health system in both a capitalist and Chinese context. His work is one of both health policy and political economy. Wong utilises the latter perspective to show the state’s role in the interests of capital, the public demand for health care and the power of the medical profession. Alongside this, Wong brings in the role of Chinese and family medicine and the role of the family in cost containment and minimising the hospitalisation of elderly, frail and chronically ill patients. The volume is the most comprehensive analysis available for health policy in Hong Kong.
This book provides a significant contribution to the discussions about the future of the system.The evidence-driven content draws from the deep expertise and experience of a wide spectrum of contributors, who represent virtually all relevant areas of the health system.
By looking at 20 reform efforts in ten OECD countries, this report examines why some reforms are implemented and other languish.
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, based on extensive original research, considers the transformation of public health systems in major East, South and Southeast Asian countries in the period following the Second World War. It examines how public health concepts, policies, institutions and practices were improved, shows how international health standards were implemented, sometimes through the direct intervention of transnational organisations, and explores how indigenous traditions and local social and cultural concerns affected developments, with, in some cases, the construction of public health systems forming an important part of nation-building in post-war and post-independence countries. Throughout, the book relates developments in public health systems to people’s health, demographic changes, and economic and social reconstruction projects.
Besides looking at major outbreaks of diseases and how they were coped with, diseases such as malaria, smallpox, tuberculosis, plague, venereal disease, avian flu and SARS, this book also examines how the successive government regimes in Hong Kong took action to prevent diseases and control potential threats to health. It shows how policies impacted the various Chinese and non-Chinese groups, and how policies were often formulated as a result of negotiations between these different groups. By considering developments over a long historical period, the book contrasts the different approaches in the periods of colonial rule, Japanese occupation, post-war reconstruction, transition to decolonization, and Hong Kong as Special Administrative Region within the People’s Republic of China.
This book describes and analyses the role of the public sector in the often-charged political atmosphere of post-1997 Hong Kong. It discusses critical constitutional, organisational and policy problems and examines their effects on relationships between government and the people. A concluding chapter suggests some possible means of resolving or minimising the difficulties which have been experienced.
This book empirically examines health care financing reforms and popular responses in three major cities in East Asia: Shanghai, Singapore, and Hong Kong. It adopts a new revised version of the theory of historical institutionalism to compare and explain the divergent reform paths in these three places over the past three decades. It also examines forces that propel institutional change. The book provides three detailed case studies on the development of health care financing reforms and the politics of implementing them. It shows that health care systems in Shanghai, Singapore, and Hong Kong were the products of Western presence in the nineteenth century. It illustrates how greater attention is paid to the roles played by ideas, actors, and environmental triggers without abandoning the core assumptions that political institutions and policy feedback remain central to impact health care financing reforms. It shows that health care financing reform is shaped by a complex interplay of forces over time. It also provides the most updated material about health care financing reforms in Shanghai, Singapore, and Hong Kong. The central argument of this book is that health care financing reform is both an evolving process responding to changing circumstances and a political process revealing an intricate interplay of power relationships and diverse interests. It shows that institutional changes in health care financing system can be incremental but transformative in nature. It argues that social policies will continue to develop and welfare states will continue to adapt and evolve in order to cope with new risks and needs. This book sheds new lights on understanding the politics of health care financing reform and sources and modes of institutional change.
Hong Kong is among the richest cities in the world. Yet over the past 15 years, living conditions for the average family have deteriorated despite a robust economy, ample budget surpluses, and record labour productivity. Successive governments have been reluctant to invest in services for the elderly, the disabled, the long-term sick, and the poor, while education has become more elitist. The political system has helped to entrench a mistaken consensus that social spending is a threat to financial stability and economic prosperity. In this trenchant attack on government mismanagement, Leo Goodstadt traces how officials have created a ‘new poverty’ in Hong Kong and argues that their misguided policies are both a legacy of the colonial era and a deliberate choice by modern governments, and not the result of economic crises. This provocative book will be essential reading for anyone wishing to understand why poverty returned to Hong Kong in this century. The book has been thoroughly revised and updated for this new, paperback edition. ‘Leo Goodstadt has identified the New Poor as those made vulnerable through diminishing access to essential services and opportunities. The culprits are misguided policies, and the callous and uncaring decisions of those in power. This compelling critique carries weight and demands a response.’ —Christine Fang, Former Chief Executive of The Hong Kong Council of Social Service ‘This is a critical reflection on Hong Kong’s path of social development and a most discerning analysis of the Third World mentality espoused by the government and the business community in the area of social welfare.’ —Lui Tai-lok, Chair Professor of Hong Kong Studies, The Hong Kong Institute of Education ‘Welfare spending was like “pouring sand into the sea to reclaim land”, thought one Chief Executive. Governments restrained social spending based on that skewed view . . . This book is meticulously researched and painfully insightful. It is a masterly chronicle of Hong Kong’s social welfare policy.’ —Anna Wu, Non-Official Member of the Executive Council, HKSAR
A notable group of social scientists explore the political economy of good governance and how it relates to performance management, the influence of political parties, education and health issues in developing countries, the economic performance of transition economies, and the effects of climate on poverty.