The Effects of Social Health Insurance Reform on People's Out-of-Pocket Health Expenditure in China : The Mediating Role of the Institutional Arrangement / by Kai Liu.
2016
Formats
| Format | |
|---|---|
| BibTeX | |
| MARCXML | |
| TextMARC | |
| MARC | |
| DublinCore | |
| EndNote | |
| NLM | |
| RefWorks | |
| RIS |
Items
Details
Author
Title
The Effects of Social Health Insurance Reform on People's Out-of-Pocket Health Expenditure in China : The Mediating Role of the Institutional Arrangement / by Kai Liu.
Added Corporate Author
Edition
1st ed. 2016.
Imprint
Singapore : Springer Singapore : Imprint: Springer, 2016.
Description
XXII, 184 p. 10 illus. online resource
Formatted Contents Note
Revisiting the social health insurance reform in China
A new institutionalist approach of healthcare reform
Effects of social health insurance participation on hospitalized patients' out-of-pocket expenditures
Why social health insurance became a care-seeking behavior booster?
The purchasing mechanism: A game among purchaser, patient, and doctor
A call for a single payer model?.
A new institutionalist approach of healthcare reform
Effects of social health insurance participation on hospitalized patients' out-of-pocket expenditures
Why social health insurance became a care-seeking behavior booster?
The purchasing mechanism: A game among purchaser, patient, and doctor
A call for a single payer model?.
Summary
This study examines and explains the relationship between social health insurance (SHI) participation and out-of-pocket expenditures (OOP) as well as the mediating role the institutional arrangement of SHI plays in this relationship in China. Embracing a new institutionalist approach, it develops two analytical perspectives: determination, which identifies the mechanisms of social health insurance, and strategic interaction, which explores the interaction among social health insurance agencies, healthcare providers, patients, and institutions. It reveals the poor performance of social health insurance in decreasing out-of-pocket health expenditures caused by a trade-off between the reimbursement, behavior management, and purchasing mechanisms of social health insurance programs. Further, it finds that the inequitable allocation of healthcare resources and patients' concerns regarding the benefits offset the strategies used by social health insurance agencies to manage care-seeking behavior. It also discovers that the complex interactions between insurance agencies, doctors, patients and a larger disenabling institutional surrounding restricts the purchasing efficiency of social health insurance. This book is characterized by its unique synthesis of the role of the institutional arrangement of social health insurance in China, the interaction between the stakeholders in health sectors, and of the relationship between healthcare institutions, actors, and policy outcomes. Providing a comprehensive overview, it enables scholars and graduate students to understand the ongoing process of social health insurance reform as well as the dynamics of health cost inflation in China. It also benefits policymakers by recommending a single-payer model based on an evidence-based investigation.
Location
www
In
Springer Nature eBook
Available in Other Form
Printed edition:
Printed edition:
Printed edition:
Printed edition:
Printed edition:
Linked Resources
Alternate Title
SpringerLink electronic monographs.
Language
English
ISBN
9789811017773
Record Appears in