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Article: Reasserting the role of the state in the healthcare sector: Lessons from Asia

TitleReasserting the role of the state in the healthcare sector: Lessons from Asia
Authors
Issue Date2008
PublisherUniversity of Sydney, Faculty of Economics and Business, Government and International Relations. The Journal's web site is located at http://www.econ.usyd.edu.au/pos/
Citation
Policy And Society, 2008, v. 27 n. 2, p. 129-136 How to Cite?
AbstractThe paper compares healthcare reforms in China, South Korea, Singapore and Thailand with the purpose of drawing useable lessons about the appropriate role of the state in the sector. It argues that healthcare reforms in China and Korea offer many negative lessons for healthcare reformers while Singapore and Thailand offer positive lessons that may be considered for emulation elsewhere. The fundamental lesson to emerge from the successful reform experiences is that a large and active state role in various aspects of healthcare provision and financing is essential for containing expenditures and maintaining access. Public ownership of providers and prospective payments are particularly effective in controlling expenditures while direct government financing promotes equitable access. The cases also show that political economy matters: the Singapore and Thai states' strong presence in the healthcare sector is a vital reason for their superior performance. © 2008 Policy and Society Associates (APSS).
Persistent Identifierhttp://hdl.handle.net/10722/59779
ISSN
2015 Impact Factor: 0.944
2015 SCImago Journal Rankings: 0.330
References

 

DC FieldValueLanguage
dc.contributor.authorRamesh, Men_HK
dc.date.accessioned2010-05-31T03:57:17Z-
dc.date.available2010-05-31T03:57:17Z-
dc.date.issued2008en_HK
dc.identifier.citationPolicy And Society, 2008, v. 27 n. 2, p. 129-136en_HK
dc.identifier.issn1449-4035en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59779-
dc.description.abstractThe paper compares healthcare reforms in China, South Korea, Singapore and Thailand with the purpose of drawing useable lessons about the appropriate role of the state in the sector. It argues that healthcare reforms in China and Korea offer many negative lessons for healthcare reformers while Singapore and Thailand offer positive lessons that may be considered for emulation elsewhere. The fundamental lesson to emerge from the successful reform experiences is that a large and active state role in various aspects of healthcare provision and financing is essential for containing expenditures and maintaining access. Public ownership of providers and prospective payments are particularly effective in controlling expenditures while direct government financing promotes equitable access. The cases also show that political economy matters: the Singapore and Thai states' strong presence in the healthcare sector is a vital reason for their superior performance. © 2008 Policy and Society Associates (APSS).en_HK
dc.languageengen_HK
dc.publisherUniversity of Sydney, Faculty of Economics and Business, Government and International Relations. The Journal's web site is located at http://www.econ.usyd.edu.au/pos/en_HK
dc.relation.ispartofPolicy and Societyen_HK
dc.titleReasserting the role of the state in the healthcare sector: Lessons from Asiaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1449-4035&volume=27: 2&spage=129&epage=136&date=2008&atitle=Reasserting+the+role+of+the+state+in+the+healthcare+sector:+Lessons+from+Asiaen_HK
dc.identifier.emailRamesh, M: mramesh@hku.hken_HK
dc.identifier.authorityRamesh, M=rp00626en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.polsoc.2008.09.004en_HK
dc.identifier.scopuseid_2-s2.0-56349134437en_HK
dc.identifier.hkuros158250en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-56349134437&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume27en_HK
dc.identifier.issue2en_HK
dc.identifier.spage129en_HK
dc.identifier.epage136en_HK
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridRamesh, M=7006248680en_HK

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