Abstract:
:This article examines the role of health governance in shaping the outcomes of healthcare reforms in China. The analysis shows that the failure of reforms during the 1980s and 1990s was in part due to inadequate attention to key aspects in health governance, such as strategic interactions among government, providers and users, as well as incentive structures shaping their preferences and behaviour. Although more recent reforms seek to correct these flaws, they are insufficiently targeted at the fundamental governance problems that beset the sector. The article suggests that the Chinese government needs to heighten its efforts to enhance health governance and change the ways providers are paid if it is to succeed in achieving its goal of providing health care to all at affordable cost.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Ramesh M,Wu X,He AJdoi
10.1093/heapol/czs109subject
Has Abstractpub_date
2014-09-01 00:00:00pages
663-72issue
6eissn
0268-1080issn
1460-2237pii
czs109journal_volume
29pub_type
杂志文章abstract::The number of medical students trained in Nepal each year has increased nearly fifty-fold in the last 15 years, primarily through the creation of private medical schools. It is unknown where this expanding cohort of new physicians will ultimately practice. We distributed an anonymous survey to students in their last 2...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr052
更新日期:2012-08-01 00:00:00
abstract::Within the existing health financing literature, males are typically categorized as the household's decision-makers. While this view accurately reflects many local sociocultural realities, approximately a quarter of sub-Saharan African households are now headed by females. In light of various efforts to expand health ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx152
更新日期:2018-03-01 00:00:00
abstract::The scale and severity of the impact of the global HIV/AIDS pandemic on low-income countries, mainly those in sub-Saharan Africa, is almost unimaginable to people in high-income countries. There is a particularly pressing need to understand better how to ensure the translation into policy and practice of important res...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.2.196
更新日期:2002-06-01 00:00:00
abstract::Because of its policy implications, the income elasticity of health care expenditures is a subject of much debate. Governments may have an interest in subsidizing the care of those with low income. Using more than two decades of data from the Iran Household Expenditure and Income Survey, this article investigates the ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs106
更新日期:2013-09-01 00:00:00
abstract::This paper seeks to examine barriers faced by members of a community-based insurance (CBI) scheme, which is targeted at poor women and their families, in accessing scheme benefits. CBI schemes have been developed and promoted as mechanisms to offer protection to poor families from the risks of ill-health, death and lo...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czj010
更新日期:2006-03-01 00:00:00
abstract::This paper explores the nature and type of policy transfer promoted by global health partnerships to facilitate access to medication in Cameroon and the associated implementation challenges. Using concepts from policy transfer, multi-level governance and the politics of scale, the paper conceptualizes the social space...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czq018
更新日期:2011-01-01 00:00:00
abstract::This paper discusses some conceptual underpinnings of research on gender and quality of health services and demonstrates the importance of training health professionals about how gender influences the health-illness-care process in men and women. It addresses the need to provide opportunities for health providers to u...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.suppl_1.7
更新日期:2001-09-01 00:00:00
abstract::Like many other developing countries, Burkina Faso has been exploring how community resources can be tapped to co-finance health services. Although revenue generation is important for the viability of health services, effects on utilization and on equity of access to health care must also be considered. The authors pr...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/9.2.185
更新日期:1994-06-01 00:00:00
abstract::Many countries have expanded insurance programmes in an effort to achieve universal health coverage (UHC). We assess a complementary path toward financial risk protection: increased access to technologies that improve health and reduce the risk of large health expenditures. Malawi has provided free HIV treatment since...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa023
更新日期:2020-07-01 00:00:00
abstract::Zambia has one of the most liberal abortion laws in sub-Saharan Africa. However, rates of unsafe abortion remain high with negative health and economic consequences. Little is known about the economic burden on women of abortion care-seeking in low income countries. The majority of studies focus on direct costs (e.g. ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv138
更新日期:2016-09-01 00:00:00
abstract::Realist evaluation furnishes valuable insight to public health practitioners and policy makers about how and why interventions work or don't work. Moving beyond binary measures of success or failure, it provides a systematic approach to understanding what goes on in the 'Black Box' and how implementation decisions in ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv053
更新日期:2016-03-01 00:00:00
abstract::The individual impacts of several components of family planning service quality on contraceptive use have been studied, but the influence of a composite measure synthesizing these components has not been often investigated. We (1) develop a composite score for family planning service quality based on health facility d...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czy058
更新日期:2018-09-01 00:00:00
abstract::In many developing countries people are expected to contribute to the cost of health care from their own pockets. As a result, people's ability to pay (ATP) for health care, or the affordability of health care, has become a critical policy issue in developing countries, and a particularly urgent issue where households...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/11.3.219
更新日期:1996-09-01 00:00:00
abstract::Approximately 900 000 newborn children die every year in India, accounting for 28% of neonatal deaths globally. In 2011, India introduced a home-based newborn care (HBNC) package to be delivered by community health workers across rural areas. We estimate the disease and economic burden that could be averted by scaling...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czv113
更新日期:2016-06-01 00:00:00
abstract::The 2011 United Nations (UN) General Assembly Political Declaration on Prevention and Control of Non-Communicable Diseases (NCDs) brought NCDs to the global health agenda. Essential medicines are central to treating chronic diseases such as hypertension and diabetes. Our study aimed to quantify access to essential med...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu107
更新日期:2015-10-01 00:00:00
abstract::Evidence-informed decisions can strengthen health systems. Literature suggests that engaging policymakers and other stakeholders in research priority-setting exercises increases the likelihood of the utilization of research evidence by policymakers. To our knowledge, there has been no previous priority-setting exercis...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czp059
更新日期:2010-01-01 00:00:00
abstract::In Ghana, Tanzania and South Africa, health care financing is progressive overall. However, out-of-pocket payments and health insurance for the informal sector are regressive. The distribution of health care benefits is generally pro-rich. This paper explores the factors influencing these distributions in the three co...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs024
更新日期:2012-03-01 00:00:00
abstract::Task-shifting the provision of pregnancy tests to community health workers (CHWs) in low-resource settings has the potential to reach significantly more underserved women at risk of pregnancy with essential reproductive health services. This study assessed whether an intervention to supply CHWs with home pregnancy tes...
journal_title:Health policy and planning
pub_type: 杂志文章,随机对照试验
doi:10.1093/heapol/czz080
更新日期:2019-10-01 00:00:00
abstract:INTRODUCTION:Lack of information on the warning signs of complications during pregnancy, parturition and postpartum hampers women's ability to partake fully in safe motherhood initiatives. We assessed the extent to which women in 19 countries of sub-Saharan Africa recall receiving information about pregnancy complicati...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czp017
更新日期:2009-09-01 00:00:00
abstract::National Health Accounts (NHA) are an important tool to demonstrate how a country's health resources are spent, on what services, and who pays for them. NHA are used by policy-makers for monitoring health expenditure patterns; policy instruments to re-orientate the pattern can then be further introduced. The National ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/14.4.342
更新日期:1999-12-01 00:00:00
abstract:Background:This study describes the post-diagnosis care-seeking costs incurred by people living with TB and/or HIV and their households, in order to identify the potential benefits of integrated care. Methods:We conducted a cross-sectional study with 454 participants with TB or HIV or both in public primary health car...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw183
更新日期:2017-11-01 00:00:00
abstract::The objective of this study was to assess the impact of National Health Insurance (NHI) on the utilization of neonatal care and childhood vaccination in Taiwan. Data are selected from two nationwide maternal and infant surveys undertaken in 1989 and 1996, which were funded by the Department of Health. The questionnair...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.4.384
更新日期:2002-12-01 00:00:00
abstract::Ensuring financial access to health services is a critical challenge for poor countries if they are to reach the health Millennium Development Goals (MDGs). This article examines the case of Rwanda, a country which has championed innovative health care financing policies. Between 2000 and 2007, Rwanda has improved fin...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr070
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To estimate and compare the cost-effectiveness of selected interventions to reduce mother-to-child transmission (MTCT) of HIV in Mexico. METHODS:A spreadsheet-based model was used to examine five scenarios, each estimated using both zidovudine (ZDV) and nevirapine (NVP). Scenarios differ according to coverag...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czg035
更新日期:2003-09-01 00:00:00
abstract::Low renewal rate is a key challenge facing the sustainability of community-based health insurance (CBHI) schemes. While there is a large literature on initial enrolment into such schemes, there is limited evidence on the factors that impede renewal. This article uses longitudinal data to analyse what determines renewa...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw090
更新日期:2016-12-01 00:00:00
abstract::This article aims to describe the inappropriate use of medicines in the Brazilian urban population and to identify associated factors. We conducted a data analysis of a household survey carried out in Brazil in 2013-14. The sampling plan was done by clusters with representativeness of the urban population and large re...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czz038
更新日期:2019-12-01 00:00:00
abstract::A decade after the first International Conference on Safe Motherhood, maternal mortality remains very high in most West African countries, even in capital cities. The detection of high risk pregnancies, known as the risk approach, during antenatal consultations has been the basis of most maternal and child health prog...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/15.1.11
更新日期:2000-03-01 00:00:00
abstract::Measuring and tracking the quality of healthcare is a critical part of improving service delivery, clinic efficiency and health outcomes. However, no standardized or widely accepted tool exists to assess the quality of clinic-based family planning services in low- and middle-income countries. The objective of this lit...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czw123
更新日期:2017-03-01 00:00:00
abstract::The private sector plays a major role in the delivery of health care in South Africa. Over the past two decades, the quality and equity of such provision has been questioned internationally. A study was conducted in Gauteng Province to explore these issues, using care for sexually transmitted disease (STD) as a case s...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.suppl_1.40
更新日期:2002-12-01 00:00:00
abstract:INTRODUCTION:Health facilities assessments are an essential instrument for health system strengthening in low- and middle-income countries. These assessments are used to conduct health facility censuses to assess the capacity of the health system to deliver health care and to identify gaps in the coverage of health ser...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czu043
更新日期:2015-06-01 00:00:00