國立虎尾科技大學 |

The effects of social health insurance reform on people's out-of-pocket health expenditure in China = the mediating role of the institutional arrangement /

Record Type:	Language materials, printed : Monograph/item
Title/Author:	The effects of social health insurance reform on people's out-of-pocket health expenditure in China/ by Kai Liu.
Reminder of title:	the mediating role of the institutional arrangement /
Author:	Liu, Kai.
Published:	Singapore :Springer Singapore : : 2016.,
Description:	xxii, 184 p. :ill., digital ; : 24 cm.;
Contained By:	Springer eBooks
Subject:	Health care reform - China. -
Online resource:	http://dx.doi.org/10.1007/978-981-10-1777-3
ISBN:	9789811017773

The effects of social health insurance reform on people's out-of-pocket health expenditure in China = the mediating role of the institutional arrangement /
Liu, Kai.

The effects of social health insurance reform on people's out-of-pocket health expenditure in Chinathe mediating role of the institutional arrangement /[electronic resource] :by Kai Liu. - Singapore :Springer Singapore :2016. - xxii, 184 p. :ill., digital ;24 cm.

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?

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.

ISBN: 9789811017773

Standard No.: 10.1007/978-981-10-1777-3doiSubjects--Topical Terms:

1057734
Health care reform
--China.

LC Class. No.: RA395.C6

Dewey Class. No.: 362.10951

The effects of social health insurance reform on people's out-of-pocket health expenditure in China = the mediating role of the institutional arrangement /
LDR:03230nam a2200313 a 4500 001 867444
003 DE-He213
005 20170303134140.0
006 m d
007 cr nn 008maaau
008 170720s2016 si s 0 eng d
020 $a 9789811017773 $q (electronic bk.)
020 $a 9789811017766 $q (paper)
024 7 $a 10.1007/978-981-10-1777-3 $2 doi
035 $a 978-981-10-1777-3
040 $a GP $c GP
041 0 $a eng
050 4 $a RA395.C6
072 7 $a JKSN $2 bicssc
072 7 $a SOC025000 $2 bisacsh
082 0 4 $a 362.10951 $2 23
090 $a RA395.C6 $b L783 2016
100 1 $a Liu, Kai. $3 1070728
245 1 4 $a The effects of social health insurance reform on people's out-of-pocket health expenditure in China $h [electronic resource] : $b the mediating role of the institutional arrangement / $c by Kai Liu.
260 $a Singapore : $c 2016. $b Springer Singapore : $b Imprint: Springer,
300 $a xxii, 184 p. : $b ill., digital ; $c 24 cm.
505 0 $a 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?
520 $a 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.
650 0 $a Health care reform $z China. $3 1057734
650 1 4 $a Social Sciences. $3 655031
650 2 4 $a Social Work. $3 635863
650 2 4 $a Social Choice/Welfare Economics/Public Choice. $3 1105334
650 2 4 $a Political Economy. $3 1019335
650 2 4 $a Medical Law. $3 671732
710 2 $a SpringerLink (Online service) $3 593884
773 0 $t Springer eBooks
856 4 0 $u http://dx.doi.org/10.1007/978-981-10-1777-3
950 $a Social Sciences (Springer-41176)