Health Service Delivery in China : A Literature Review

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.

Bibliographic Details

Main Authors:	Eggleston, Karen, Ling, Li, Qingyue, Meng, Lindelow, Magnus, Wagstaff, Adam
Language:	English
Published:	World Bank, Washington, DC 2006-08
Subjects:	BASIC HEALTH SERVICES, BEDS, CAPITATION, CAPITATION PAYMENT, CERTIFICATION, CHILD HEALTH, CITIES, CLINICAL CARE, CLINICS, COMPARISONS OF HEALTH EXPENDITURE, COMPETITION AMONG PROVIDERS, COSTS OF CARE, DELIVERY OF HEALTH CARE, DELIVERY OF HEALTH CARE SERVICES, DELIVERY SYSTEM, DEMAND FOR HEALTH, DEMAND FOR HEALTH CARE, DIAGNOSIS, DOCTORS, DRUG ADMINISTRATION, DRUGS, EXPENDITURE CONTROL, EXPENDITURES, FAMILIES, FAMILY PLANNING, FEE SCHEDULE, FEE-FOR-SERVICE, GROWTH OF HEALTH SPENDING, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE INSTITUTIONS, HEALTH CARE MANAGEMENT, HEALTH CARE PROVIDERS, HEALTH CARE QUALITY, HEALTH CARE SECTOR, HEALTH CENTERS, HEALTH CONSEQUENCES, HEALTH ECONOMICS, HEALTH FACILITIES, HEALTH INSURANCE, HEALTH INSURANCE SCHEME, HEALTH INSURANCE SCHEMES, HEALTH INSURERS, HEALTH INTERVENTIONS, HEALTH MANAGEMENT, HEALTH OUTCOMES, HEALTH PLANNING, HEALTH PLANS, HEALTH POLICY, HEALTH PROGRAMS, HEALTH PROVIDERS, HEALTH REFORM, HEALTH RESOURCES, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SPENDING, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HEALTH WORKFORCE, HEALTH-CARE, HEALTH-CARE SYSTEMS, HIGH SCHOOL EDUCATION, HOME VISITS, HOSPITAL, HOSPITAL INPATIENT, HOSPITAL MANAGEMENT, HOSPITAL MANAGERS, HOSPITALS, INCOME GROUPS, INEQUITIES, INFECTIOUS DISEASES, INFORMATION ASYMMETRIES, INSURANCE SYSTEM, INSURERS, INTERNATIONAL COMPARISONS, INTERVENTION, LABOR MARKET, MALARIA, MANAGEMENT SYSTEMS, MARKET FAILURES, MEDICAL ASSOCIATION, MEDICAL COLLEGE, MEDICAL EQUIPMENT, MEDICAL EXPENDITURE, MEDICAL EXPENDITURES, MEDICAL INSURANCE, MEDICAL PERSONNEL, MEDICAL PROCEDURES, MEDICAL SERVICES, MEDICAL SKILLS, MEDICAL TRAINING, MEDICARE, MODERN MEDICINE, MORTALITY, NATIONAL ACTIONS, NATIONAL HEALTH, NURSES, NUTRITION, NUTRITION PROGRAMS, OLD SYSTEM, OUTPATIENT CARE, PATIENT, PATIENT OUTCOMES, PATIENT SATISFACTION, PATIENTS, PERSONAL COMMUNICATION, PERSONNEL POLICIES, PHYSICIANS, POCKET PAYMENTS, POLICY DOCUMENT, POLICY RESEARCH, POLICY RESEARCH WORKING PAPER, POOR FAMILIES, POOR PEOPLE, PRACTITIONERS, PRESCRIPTIONS, PRICE CONTROL, PRIMARY HEALTH CARE, PRISONS, PRIVATE INSURERS, PRIVATE SECTOR, PROGRESS, PROVIDER INCENTIVES, PUBLIC HEALTH, PUBLIC HOSPITALS, PUBLIC PROVIDERS, QUALITY ASSURANCE, QUALITY CONTROL, QUALITY OF CARE, RATE OF GROWTH, REFERRAL SYSTEM, REIMBURSEMENT RATES, REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTH PROGRAMS, RURAL AREAS, RURAL HEALTH CARE, SERVICE DELIVERY, SOCIAL INSURANCE, SOCIAL SCIENCE, SOCIAL SECURITY, URBAN AREAS, VISITS, WASTE, WORKERS, WORLD HEALTH ORGANIZATION,
Online Access:	http://documents.worldbank.org/curated/en/2006/08/6962134/health-service-delivery-china-literature-review https://hdl.handle.net/10986/8373
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