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...

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Main Authors:	Eggleston, Karen, Ling, Li, Qingyue, Meng, Lindelow, Magnus, Wagstaff, Adam
Format:	Policy Research Working Paper
Language:	English
Published:	World Bank, Washington, DC 2012
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 http://hdl.handle.net/10986/8373

id	okr-10986-8373
recordtype	oai_dc
spelling	okr-10986-83732021-04-23T14:02:41Z Health Service Delivery in China : A Literature Review Eggleston, Karen Ling, Li Qingyue, Meng Lindelow, Magnus Wagstaff, Adam 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 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. 2012-06-18T21:42:30Z 2012-06-18T21:42:30Z 2006-08 http://documents.worldbank.org/curated/en/2006/08/6962134/health-service-delivery-china-literature-review http://hdl.handle.net/10986/8373 English Policy Research Working Paper; No. 3978 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research East Asia and Pacific China
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	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
spellingShingle	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 Eggleston, Karen Ling, Li Qingyue, Meng Lindelow, Magnus Wagstaff, Adam Health Service Delivery in China : A Literature Review
geographic_facet	East Asia and Pacific China
relation	Policy Research Working Paper; No. 3978
description	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.
format	Publications & Research :: Policy Research Working Paper
author	Eggleston, Karen Ling, Li Qingyue, Meng Lindelow, Magnus Wagstaff, Adam
author_facet	Eggleston, Karen Ling, Li Qingyue, Meng Lindelow, Magnus Wagstaff, Adam
author_sort	Eggleston, Karen
title	Health Service Delivery in China : A Literature Review
title_short	Health Service Delivery in China : A Literature Review
title_full	Health Service Delivery in China : A Literature Review
title_fullStr	Health Service Delivery in China : A Literature Review
title_full_unstemmed	Health Service Delivery in China : A Literature Review
title_sort	health service delivery in china : a literature review
publisher	World Bank, Washington, DC
publishDate	2012
url	http://documents.worldbank.org/curated/en/2006/08/6962134/health-service-delivery-china-literature-review http://hdl.handle.net/10986/8373
_version_	1764406347222220800

Health Service Delivery in China : A Literature Review

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