Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China

The health care delivery system in China, which is dominated by state hospitals, is being increasingly challenged by public concerns: it is too expensive and too inaccessible, a complaint commonly phrased as "kai bin nan, kan bin gui" in Chinese. As the penetration of for-profit hospitals...

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Main Authors:	Liu, Gordon G., Li, Lin, Hou, Xiaohui, Xu, Judy, Hyslop, Daniel
Format:	Journal Article
Language:	EN
Published:	2012
Subjects:	Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Economic Development: Human Resources Human Development Income Distribution Migration O150 Economic Development: Regional, Urban, and Rural Analyses Transportation O180 Socialist Systems and Transitional Economies: Urban, Rural, and Regional Economics P250 Socialist Institutions and Their Transitions: Consumer Economics Health Education and Training: Welfare, Income, Wealth, and Poverty P360
Online Access:	http://hdl.handle.net/10986/4712

id	okr-10986-4712
recordtype	oai_dc
spelling	okr-10986-47122021-04-23T14:02:19Z Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China Liu, Gordon G. Li, Lin Hou, Xiaohui Xu, Judy Hyslop, Daniel Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Economic Development: Human Resources Human Development Income Distribution Migration O150 Economic Development: Regional, Urban, and Rural Analyses Transportation O180 Socialist Systems and Transitional Economies: Urban, Rural, and Regional Economics P250 Socialist Institutions and Their Transitions: Consumer Economics Health Education and Training: Welfare, Income, Wealth, and Poverty P360 The health care delivery system in China, which is dominated by state hospitals, is being increasingly challenged by public concerns: it is too expensive and too inaccessible, a complaint commonly phrased as "kai bin nan, kan bin gui" in Chinese. As the penetration of for-profit hospitals has gradually increased, there is a growing need for policy research to assess their impact on medical spending from the patient perspective. Using panel data at the provincial level in China, this paper examines the impact of the penetration of for-profit hospitals on average medical expenditures for both outpatient and inpatient services in public general hospitals. Based on fixed-effect model estimates, the study shows that the penetration of for-profit hospitals has lowered the average medical expenditures for both inpatient and outpatient services across regions, especially for pharmaceuticals. Together with other results, this study finds no evidence that private for-profit hospitals drive up average medical expenditures while serving their profit-maximization objectives. Rather, they help increase the market supply of health care, which in turn better serves the increasing demand. 2012-03-30T07:29:22Z 2012-03-30T07:29:22Z 2009 Journal Article China Economic Review 1043951X http://hdl.handle.net/10986/4712 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article China
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	EN
topic	Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Economic Development: Human Resources Human Development Income Distribution Migration O150 Economic Development: Regional, Urban, and Rural Analyses Transportation O180 Socialist Systems and Transitional Economies: Urban, Rural, and Regional Economics P250 Socialist Institutions and Their Transitions: Consumer Economics Health Education and Training: Welfare, Income, Wealth, and Poverty P360
spellingShingle	Analysis of Health Care Markets I110 Health: Government Policy Regulation Public Health I180 Economic Development: Human Resources Human Development Income Distribution Migration O150 Economic Development: Regional, Urban, and Rural Analyses Transportation O180 Socialist Systems and Transitional Economies: Urban, Rural, and Regional Economics P250 Socialist Institutions and Their Transitions: Consumer Economics Health Education and Training: Welfare, Income, Wealth, and Poverty P360 Liu, Gordon G. Li, Lin Hou, Xiaohui Xu, Judy Hyslop, Daniel Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China
geographic_facet	China
relation	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description	The health care delivery system in China, which is dominated by state hospitals, is being increasingly challenged by public concerns: it is too expensive and too inaccessible, a complaint commonly phrased as "kai bin nan, kan bin gui" in Chinese. As the penetration of for-profit hospitals has gradually increased, there is a growing need for policy research to assess their impact on medical spending from the patient perspective. Using panel data at the provincial level in China, this paper examines the impact of the penetration of for-profit hospitals on average medical expenditures for both outpatient and inpatient services in public general hospitals. Based on fixed-effect model estimates, the study shows that the penetration of for-profit hospitals has lowered the average medical expenditures for both inpatient and outpatient services across regions, especially for pharmaceuticals. Together with other results, this study finds no evidence that private for-profit hospitals drive up average medical expenditures while serving their profit-maximization objectives. Rather, they help increase the market supply of health care, which in turn better serves the increasing demand.
format	Journal Article
author	Liu, Gordon G. Li, Lin Hou, Xiaohui Xu, Judy Hyslop, Daniel
author_facet	Liu, Gordon G. Li, Lin Hou, Xiaohui Xu, Judy Hyslop, Daniel
author_sort	Liu, Gordon G.
title	Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China
title_short	Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China
title_full	Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China
title_fullStr	Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China
title_full_unstemmed	Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China
title_sort	symposium on health economics issues in china: the role of for-profit hospitals in medical expenditures: evidence from aggregate data in china
publishDate	2012
url	http://hdl.handle.net/10986/4712
_version_	1764392480717930496

Symposium on Health Economics Issues in China: The Role of For-Profit Hospitals in Medical Expenditures: Evidence from Aggregate Data in China

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