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.
Description:	XXII, 184 p. 10 illus.online resource. :
Contained By:	Springer Nature eBook
Subject:	Social work. -
Online resource:	https://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. - 1st ed. 2016. - XXII, 184 p. 10 illus.online resource.

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:

1008643
Social work.

LC Class. No.: HV40-69.2

Dewey Class. No.: 361.3

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:03613nam a22003975i 4500 001 978598
003 DE-He213
005 20200703163316.0
007 cr nn 008mamaa
008 201211s2016 si | s |||| 0|eng d
020 $a 9789811017773 $9 978-981-10-1777-3
024 7 $a 10.1007/978-981-10-1777-3 $2 doi
035 $a 978-981-10-1777-3
050 4 $a HV40-69.2
072 7 $a JKSN $2 bicssc
072 7 $a SOC025000 $2 bisacsh
072 7 $a JKSN $2 thema
082 0 4 $a 361.3 $2 23
100 1 $a Liu, Kai. $4 aut $4 http://id.loc.gov/vocabulary/relators/aut $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.
250 $a 1st ed. 2016.
264 1 $a Singapore : $b Springer Singapore : $b Imprint: Springer, $c 2016.
300 $a XXII, 184 p. 10 illus. $b online resource.
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
347 $a text file $b PDF $2 rda
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 Social work. $2 bicssc $3 1008643
650 0 $a Welfare economics. $3 555259
650 0 $a Political economy. $2 bicssc $3 809016
650 0 $a Medical laws and legislation. $3 567375
650 1 4 $a Social Work. $3 635863
650 2 4 $a Social Choice/Welfare Economics/Public Choice/Political Economy. $3 1209828
650 2 4 $a International Political Economy. $3 1171863
650 2 4 $a Medical Law. $3 671732
710 2 $a SpringerLink (Online service) $3 593884
773 0 $t Springer Nature eBook
776 0 8 $i Printed edition: $z 9789811017766
776 0 8 $i Printed edition: $z 9789811017780
776 0 8 $i Printed edition: $z 9789811094453
856 4 0 $u https://doi.org/10.1007/978-981-10-1777-3
912 $a ZDB-2-SLS
912 $a ZDB-2-SXS
950 $a Social Sciences (SpringerNature-41176)
950 $a Social Sciences (R0) (SpringerNature-43726)