Management for health services delivery


China's Health sector reform

  • Health Service Delivery in China: A Literature Review
    2006, K. Egglestona, Li Lingb, M. Qingyuec,
    M. Lindelowd, A. Wagstaff, World Bank Policy Research Working Paper WPS3978

    After a live birth, the recommended interval before attempting the next pregnancy is at least 24 months in order to reduce the risk of adverse maternal, perinatal and infant outcomes.
    (20 pages, pdf 239KB)
  • The Chinese Health Care System: Structure, Problems and Challenges
    Jens Leth Hougaard, Lars Peter Østerdal and Yi Yu, 2008, Department of Economics University of Copenhagen
    Provider incentives; burden sharing between government, enterprises and peopl;. current problems and future challenges: an aging population, increased privatization and increased inequity.
    (34 pages, pdf 604KB)
  • Extending health insurance to the rural population: an impact evaluation of China's new cooperative medical scheme
    Wagstaff Adam, Lindelow Magnus, Gao Jun, Xu Ling and Qian Juncheng, 2007, The World Bank
    Evidence of lower enrollment rates among poor households and higher enrollment rates among households with chronically sick members. Increased outpatient and inpatient utilization by 20-30 percent, but no impact on utilization in the poorest decile. For the sample as a whole, no statistically significant effects on average out-of-pocket spending, but some evidence of increased catastrophic health spending. By contrast, for the poorest decile, the scheme increased average out-of-pocket spending but reduced the incidence of catastrophic health spending. Increased ownership of expensive equipment among central township health centers but had no impact on cost per case.
    (40 pages, pdf 370KB)
  • A Comparison of the Health Systems in China and India
    Sai Ma & Neeraj Sood, 2008, Rand Corp., Centre for Asia Pacific Policy
    priority areas for reform in each country that can help improve the performance of each health system: restructure health care financing to reduce the burden of out-of-pocket medical care costs on individual patients; increase access to care, especially in rural areas; reduce dependence on fee-for-service contracts that promote overutilization of medical care; build capacity for addressing and monitoring emerging diseases; match hospital capabilities with local needs.
    (60 pages, pdf 394KB)
  • The Development of Community Health Care in Shanghai: Emerging Patterns of PHC for the Ageing Population of a Megalopolis
    2004, WHO/WKC/Tech.Ser./04.1
    Community health care development, sustainability, future scenarios
    (64 pages, pdf 1.7MB - Note: this is a big file to download)
  • Tough Choices: Investing in Health for Development
    S. Spinaci, L. Currat, P. Shetty, V. Crowell and J. Kehler, 2006, WHO
    Synthesis of country experiences over three years of following up on the findings of the 2001 report of the Commission on Macroeconomics and Health (CMH). the main challenges that countries have faced with respect to improving health investment planning; policy implications along which the efforts of national policy-makers and planners, as well as development partners.
    124 pages, 871KB)