Title

China's debate on health care reform, 2005-09

Document Type

Journal article

Source Publication

Journal of Contemporary Asia

Publication Date

5-1-2011

Volume

41

Issue

2

First Page

315

Last Page

323

Abstract

This commentary critically discusses China’s debate on health care reform during 2005-09 and analyses the politics involved. It examines a key point of contention – the financing of the health sector – given that the contention has been permeated with politics (who gets what, how and when) and that financing has an extremely critical impact on the performance of a health system. The debate on health care financing reflects two major changes brought by health care privatisation since the late 1980s, namely the changed incentives and behaviour of public hospitals and physicians, and the growing problem of effective management of the health workforces by the government. The commentary is organised as follows. First, it reviews the background of health care reform. Secondly, it studies the debate on how the government should finance the health sector. The third section discusses the changed incentives and behaviour of public hospitals and physicians and the growing problem of effective management of the health workforces and highlights how these two developments hinder health care reform. The final part concludes.

DOI

10.1080/00472336.2011.553049

Print ISSN

00472336

E-ISSN

17527554

Publisher Statement

Copyright © 2011 Journal of Contemporary Asia

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Full-text Version

Publisher’s Version

Recommended Citation

Tam, W. (2011). China's debate on health care reform, 2005-09. Journal of Contemporary Asia, 41(2), 315-323. doi: 10.1080/00472336.2011.553049