Health Service Delivery in China: A Literature Review

20 Pages Posted: 20 Apr 2016

See all articles by Karen Eggleston

Karen Eggleston

Stanford University - Walter H. Shorenstein Asia-Pacific Research Center (APARC)

Magnus Lindelow

World Bank

Li Ling

Beijing University

Meng Qingyue

Shandong University

Adam Wagstaff

World Bank - Development Research Group (DECRG)

Date Written: August 1, 2006

Abstract

The authors report the results of a review of the Chinese-language and English-language literatures on service delivery in China, asking how well China's health care providers perform, what determines their performance, and how the government can improve it. They find current performance 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. In 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 toward prospective payments. Active purchasing by insurers could further improve outcomes.

Keywords: Health Monitoring & Evaluation, Health Law, Health Economics & Finance, Health Systems Development & Reform, Population Policies

Suggested Citation

Eggleston, Karen and Lindelow, Magnus and Ling, Li and Qingyue, Meng and Wagstaff, Adam, Health Service Delivery in China: A Literature Review (August 1, 2006). World Bank Policy Research Working Paper No. 3978. Available at SSRN: https://ssrn.com/abstract=923285

Karen Eggleston (Contact Author)

Stanford University - Walter H. Shorenstein Asia-Pacific Research Center (APARC) ( email )

Stanford, CA 94305
United States

Magnus Lindelow

World Bank ( email )

1818 H Street, N.W.
Washington, DC 20433
United States

Li Ling

Beijing University

Beijing, 100871
China

Meng Qingyue

Shandong University

27 Shanda Nanlu
South Rd.
Jinan, Shandong 250100
China

Adam Wagstaff

World Bank - Development Research Group (DECRG) ( email )

1818 H. Street, N.W.
MSN3-311
Washington, DC 20433
United States

HOME PAGE: http://econ.worldbank.org/staff/awagstaff

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