The Effects of Social Health Insurance Reform on People's Out-of-Pocket Health Expenditure in China: The Mediating Role of the Institutional Arrangement

Author:   Kai Liu
Publisher:   Springer Verlag, Singapore
Edition:   1st ed. 2016
ISBN:  

9789811017766


Pages:   184
Publication Date:   03 October 2016
Format:   Hardback
Availability:   Manufactured on demand   Availability explained
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The Effects of Social Health Insurance Reform on People's Out-of-Pocket Health Expenditure in China: The Mediating Role of the Institutional Arrangement


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Overview

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.

Full Product Details

Author:   Kai Liu
Publisher:   Springer Verlag, Singapore
Imprint:   Springer Verlag, Singapore
Edition:   1st ed. 2016
Dimensions:   Width: 15.50cm , Height: 1.30cm , Length: 23.50cm
Weight:   0.483kg
ISBN:  

9789811017766


ISBN 10:   981101776
Pages:   184
Publication Date:   03 October 2016
Audience:   College/higher education ,  Postgraduate, Research & Scholarly
Format:   Hardback
Publisher's Status:   Active
Availability:   Manufactured on demand   Availability explained
We will order this item for you from a manufactured on demand supplier.

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Prof. Liu is Assistant Professor of School of Labor and Human Resources, Renmin University of China. He develops his expertise in health policy, social policy in China, and comparative social security system. He visited University of California, Berkeley to study health policy and health economics in 2013. He won the Fulbright Scholarship and visited Harvard University to conduct a comparative study of catastrophic health spending in 2014-2015.

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