LEADER 04461nam 22005535 450 001 9910253351403321 005 20200703163316.0 010 $a981-10-1777-8 024 7 $a10.1007/978-981-10-1777-3 035 $a(CKB)3710000000870148 035 $a(DE-He213)978-981-10-1777-3 035 $a(MiAaPQ)EBC4694495 035 $a(EXLCZ)993710000000870148 100 $a20160921d2016 u| 0 101 0 $aeng 135 $aurnn|008mamaa 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 14$aThe Effects of Social Health Insurance Reform on People?s Out-of-Pocket Health Expenditure in China $eThe Mediating Role of the Institutional Arrangement /$fby Kai Liu 205 $a1st ed. 2016. 210 1$aSingapore :$cSpringer Singapore :$cImprint: Springer,$d2016. 215 $a1 online resource (XXII, 184 p. 10 illus.) 311 $a981-10-1776-X 320 $aIncludes bibliographical references and index. 327 $aRevisiting 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?. 330 $aThis 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-seeking behavior. 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. 606 $aSocial work 606 $aWelfare economics 606 $aPolitical economy 606 $aMedical laws and legislation 606 $aSocial Work$3https://scigraph.springernature.com/ontologies/product-market-codes/X21000 606 $aSocial Choice/Welfare Economics/Public Choice/Political Economy$3https://scigraph.springernature.com/ontologies/product-market-codes/W31020 606 $aInternational Political Economy$3https://scigraph.springernature.com/ontologies/product-market-codes/912140 606 $aMedical Law$3https://scigraph.springernature.com/ontologies/product-market-codes/R16005 615 0$aSocial work. 615 0$aWelfare economics. 615 0$aPolitical economy. 615 0$aMedical laws and legislation. 615 14$aSocial Work. 615 24$aSocial Choice/Welfare Economics/Public Choice/Political Economy. 615 24$aInternational Political Economy. 615 24$aMedical Law. 676 $a361.3 700 $aLiu$b Kai$4aut$4http://id.loc.gov/vocabulary/relators/aut$0499903 906 $aBOOK 912 $a9910253351403321 996 $aThe Effects of Social Health Insurance Reform on People?s Out-of-Pocket Health Expenditure in China$92519196 997 $aUNINA