Item Details
Skip Navigation Links
   ActiveUsers:1177Hits:21153036Skip Navigation Links
Show My Basket
Contact Us
IDSA Web Site
Ask Us
Today's News
HelpExpand Help
Advanced search

In Basket
  Journal Article   Journal Article
 

ID124894
Title ProperHospitals' responses to administrative cost-containment policy in urban China
Other Title Informationthe case of Fujian province
LanguageENG
AuthorHe, Alex Jingwei ;  Qian, Jiwei
Publication2013.
Summary / Abstract (Note)The patterns of hospitals' behavioural changes in response to different insurance systems and payment arrangements have been well documented in the literature on health economics and policy. To understand these changes, it is necessary to look at the shifts in fundamental economic incentives. Meanwhile, hospital practices are also subject to adjustment when administrative tools are realigned. This article examines the dynamics of a health policy campaign started in 2005 by a Chinese provincial health administration that was committed to containing health expenditures using administrative measures. Through a combination of qualitative in-depth interviews and quantitative panel data analysis comprising 30 public hospitals in the sample, this article finds that by revising the structure of administrative measures on the supply side, the Chinese health bureaucracy is able to curb rapid cost inflation in the short term. However, while having to meet the cost control mandate imposed by the health administration, Chinese public hospitals still managed to defend their economic interests by engaging in various unintended opportunistic behaviour. This article analyses a panel database from Fujian province and reveals the strategies adopted by public hospitals and considers their implications for China's ongoing national healthcare reform.
`In' analytical NoteChina Quarterly Vol. No.216; 2013:p.946-969
Journal SourceChina Quarterly Vol. No.216; 2013:p.946-969
Key WordsCost Containment ;  Hospital Behavior ;  Cost Inflation ;  Health Policy ;  China ;  Medical Services - China ;  National Healthcare Reforms - China ;  Social Reforms - China ;  Economic Development - China ;  Fundamental Economic Incentives


 
 
Media / Other Links  Full Text