Perspective: When incentives and professionalism collide

Health Affairs

Volumn 27, Issue 4, 2008, Pages 949-951

  Hsiao, William C ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

FINANCIAL MANAGEMENT; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE QUALITY; HUMAN; INVESTMENT; PRESCRIPTION; PROFESSIONALISM; PROFIT; SHORT SURVEY; SOCIOECONOMICS; CHINA; CLINICAL PRACTICE; ECONOMICS; HEALTH CARE DELIVERY; HEALTH CARE POLICY; NOTE; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; PUBLIC HEALTH;

CHINA; DELIVERY OF HEALTH CARE; HEALTH CARE REFORM; HEALTH CARE SECTOR; HEALTH EXPENDITURES; HUMANS; PHYSICIAN INCENTIVE PLANS; PHYSICIAN'S PRACTICE PATTERNS; PUBLIC HEALTH; QUALITY OF HEALTH CARE;

EID: 48149113451     PISSN: 02782715     EISSN: 02782715     Source Type: Journal    
DOI: 10.1377/hlthaff.27.4.949     Document Type: Short Survey

References (14)

1. J. Ma, M. Lu, and H. Quan, "From a National, Centrally Planned Health System to a System Based on the Market: Lessons from China," Health Affairs 27, no. 4 (2008): 937-948.
2. China regulates prices while largely leaving the quality of health care and drugs unregulated. Its irrational price regulation underpays for services (visits, surgery, hospital days) while overpaying for drugs and high-technology tests. The government expects hospitals to make up their losses from performing services with profits derived from drugs and tests.
3. M. Lindelow and A. Wagstaff, "China's Health Sector - Why Reform Is Needed," Rural Health in China: Briefing Notes Series (Washington: World Bank, 2005).
4. E. van Doorslaer et al., "Effect of Payments for Health Care on Poverty Estimates in Eleven Countries in Asia: An Analysis of Household Survey Data," Lancet 368, no. 9544 (2006): 1357-1364.
5. D. Blumenthal and W. Hsiao, "Privatization and Its Discontents - The Evolving Chinese Health Care System," New England Journal of Medicine 353, no. 11 (2005): 1165-1170;
6. and W. Yip and W.C. Hsiao, "The Chinese Health System at a Crossroads," Health Affairs 27, no. 2 (2008): 460-468.
7. Ibid.
8. X. Liu and A. Mills, "Evaluating Payment Mechanisms: How Can We Measure Unnecessary Care?" Health Policy and Planning 14, no. 4 (1999): 409-413.
9. P. Smith, C. Wong, and Z. Yuxin, "Public Expenditure and the Role of Government in the Chinese Health Sector," Briefing Notes Series (Washington: World Bank, 2005).
10. China National Health Economics Institute, China National Health Accounts Report (in Chinese) (Beijing: China NHEI, 2005).
11. R. Zhou, "Responsible Utilization of Antibiotics Should Be a Societal Responsibility," Sanmenxia Central Hospital Paper no. 223 (in Chinese), http://www.smxzxyy.com/Article_Print.asp? ArticleID=213 (accessed 15 January 2008).
12. China allows public-sector doctors to do contract work for other hospitals on their days off.
13. W. Yip and A. Mahal, "The Health Care Systems of China and India: Performance and Future Challenges," Health Affairs 27, no. 4 (2008): 921-932.
14. Yip and Hsiao, "The Chinese Health System."