The Effects of Social Health Insurance Reform on People’s Out-of-Pocket Health Expenditure in China

The Mediating Role of the Institutional Arrangement

Kai Liu (Autor)

Buch | Softcover

184 Seiten

2018 | Softcover reprint of the original 1st ed. 2016
Springer Verlag, Singapore
978-981-10-9445-3 (ISBN)

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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-seekingbehavior. 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.

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.

Revisiting the social health insurance reform in China.- A new institutionalist approach of healthcare reform.- Effects of social health insurance participation on hospitalized patients’ out-of-pocket expenditures.- Why social health insurance became a care-seeking behavior booster?.- The purchasing mechanism: A game among purchaser, patient, and doctor.- A call for a single payer model?.

Erscheinungsdatum	02.09.2018
Zusatzinfo	10 Illustrations, black and white; XXII, 184 p. 10 illus.
Verlagsort	Singapore
Sprache	englisch
Maße	155 x 235 mm
Themenwelt	Sozialwissenschaften ► Pädagogik ► Sozialpädagogik
	Sozialwissenschaften ► Politik / Verwaltung ► Europäische / Internationale Politik
	Sozialwissenschaften ► Soziologie
	Wirtschaft ► Allgemeines / Lexika
	Wirtschaft ► Volkswirtschaftslehre ► Wirtschaftspolitik
Schlagworte	care-seeking behavior management • Chinese society • healthcare reform • Health Expenditure • institutional arrangement • out-of-pocket expenditure • single payer • Social Health Insurance • social health insurance agency • third-party purchasing
ISBN-10	981-10-9445-4 / 9811094454
ISBN-13	978-981-10-9445-3 / 9789811094453
Zustand	Neuware