COMBATING HEALTHCARE COST INFLATION WITH CONCERTED ADMINISTRATIVE ACTIONS IN A CHINESE PROVINCE
SUMMARY This article defies the traditional notion that cost inflation in healthcare could hardly be curbed without the significant revision of economic incentive scheme, but demonstrates the possibility of containing cost inflation with concerted administrative actions in the Chinese context. It ex...
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| Veröffentlicht in: | Public administration and development 2011-08, Vol.31 (3), p.214-228 |
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| creator | He Jingwei, Alex |
| description | SUMMARY
This article defies the traditional notion that cost inflation in healthcare could hardly be curbed without the significant revision of economic incentive scheme, but demonstrates the possibility of containing cost inflation with concerted administrative actions in the Chinese context. It examines the case of Fujian Province that embarked on a health bureaucracy‐led policy reform without an alteration of economic levers but mainly using administrative tools to combat cost escalation. Through clearly defined, well designed, targeted and concerted administrative measures, effective cost containment is attainable in China's healthcare sector, at least in the short run. If combined well with the powerful economic instruments, administrative tools would be able to augment their effects in cost containment, provided with the government's possession of hospital ownership. At the heart of Fujian's case are the reassertion of the government stewardship, the reconstruction of the collapsed accountability mechanisms, the reconfiguration of policy instruments, and the revision of administrative incentives, rather than the decreased costs per se. Copyright © 2011 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/pad.602 |
| format | Article |
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This article defies the traditional notion that cost inflation in healthcare could hardly be curbed without the significant revision of economic incentive scheme, but demonstrates the possibility of containing cost inflation with concerted administrative actions in the Chinese context. It examines the case of Fujian Province that embarked on a health bureaucracy‐led policy reform without an alteration of economic levers but mainly using administrative tools to combat cost escalation. Through clearly defined, well designed, targeted and concerted administrative measures, effective cost containment is attainable in China's healthcare sector, at least in the short run. If combined well with the powerful economic instruments, administrative tools would be able to augment their effects in cost containment, provided with the government's possession of hospital ownership. At the heart of Fujian's case are the reassertion of the government stewardship, the reconstruction of the collapsed accountability mechanisms, the reconfiguration of policy instruments, and the revision of administrative incentives, rather than the decreased costs per se. Copyright © 2011 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0271-2075</identifier><identifier>EISSN: 1099-162X</identifier><identifier>DOI: 10.1002/pad.602</identifier><identifier>CODEN: PADEDR</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Accountability ; administrative action ; Administrative efficiency ; China ; China (People's Republic) ; Cost ; Cost containment ; Cost control ; Cost effectiveness ; cost inflation ; Costs ; Health care expenditures ; Health care industry ; Health care policy ; Health costs ; Health economics ; Health policy ; Hospitals ; incentive ; Inflation ; Ownership and control ; policy instruments ; Provinces ; Public expenditure ; Revisions ; Studies</subject><ispartof>Public administration and development, 2011-08, Vol.31 (3), p.214-228</ispartof><rights>Copyright © 2011 John Wiley & Sons, Ltd.</rights><rights>Copyright Wiley Periodicals Inc. Aug 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4232-87c064815631a6ce3a90fd834b2d95bb1d0ff268f26f01cd429a793702a804173</citedby><cites>FETCH-LOGICAL-c4232-87c064815631a6ce3a90fd834b2d95bb1d0ff268f26f01cd429a793702a804173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpad.602$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpad.602$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27842,27843,27901,27902,30976,30977,45550,45551</link.rule.ids></links><search><creatorcontrib>He Jingwei, Alex</creatorcontrib><title>COMBATING HEALTHCARE COST INFLATION WITH CONCERTED ADMINISTRATIVE ACTIONS IN A CHINESE PROVINCE</title><title>Public administration and development</title><addtitle>Public Admin. Dev</addtitle><description>SUMMARY
This article defies the traditional notion that cost inflation in healthcare could hardly be curbed without the significant revision of economic incentive scheme, but demonstrates the possibility of containing cost inflation with concerted administrative actions in the Chinese context. It examines the case of Fujian Province that embarked on a health bureaucracy‐led policy reform without an alteration of economic levers but mainly using administrative tools to combat cost escalation. Through clearly defined, well designed, targeted and concerted administrative measures, effective cost containment is attainable in China's healthcare sector, at least in the short run. If combined well with the powerful economic instruments, administrative tools would be able to augment their effects in cost containment, provided with the government's possession of hospital ownership. At the heart of Fujian's case are the reassertion of the government stewardship, the reconstruction of the collapsed accountability mechanisms, the reconfiguration of policy instruments, and the revision of administrative incentives, rather than the decreased costs per se. Copyright © 2011 John Wiley & Sons, Ltd.</description><subject>Accountability</subject><subject>administrative action</subject><subject>Administrative efficiency</subject><subject>China</subject><subject>China (People's Republic)</subject><subject>Cost</subject><subject>Cost containment</subject><subject>Cost control</subject><subject>Cost effectiveness</subject><subject>cost inflation</subject><subject>Costs</subject><subject>Health care expenditures</subject><subject>Health care industry</subject><subject>Health care policy</subject><subject>Health costs</subject><subject>Health economics</subject><subject>Health policy</subject><subject>Hospitals</subject><subject>incentive</subject><subject>Inflation</subject><subject>Ownership and control</subject><subject>policy instruments</subject><subject>Provinces</subject><subject>Public expenditure</subject><subject>Revisions</subject><subject>Studies</subject><issn>0271-2075</issn><issn>1099-162X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><recordid>eNqF0VtLwzAUB_AgCs4pfoXgi4JUT5K2aR5r1q2FrZWt6t5C1gtMd7PZUL-9mRMRQX0IgZxf_rkchE4JXBEAer3S5ZUPdA-1CAjhEJ-O91ELKCcOBe4doiNjHgGsFbyFlMwGN2GepD0cR2E_j2U4jLDMRjlO0m7fVrIUPyR5bNdSGQ3zqIPDziBJk1E-tNX7CIdyi0bW4xDLOEmjUYRvh9l9Yjcco4Naz0x18jm30V03ymXs9LNeIsO-U7iUUSfgBfhuQDyfEe0XFdMC6jJg7oSWwptMSAl1Tf3AjhpIUbpUaC4YB6oDcAlnbXS-y101y-dNZdZqPjVFNZvpRbXcGCUIp0JQ5v8vgdqf4R-ZF39KGxnYS3tuYOnZD_q43DQL-2IVCAouc7-fXDRLY5qqVqtmOtfNmyKgtr1TtnfK9s7Ky518mc6qt9-Yug07O-3s9NSsq9cvrZsn5XPGPfWQ9tSYA3TGca4kewc2dJ15</recordid><startdate>201108</startdate><enddate>201108</enddate><creator>He Jingwei, Alex</creator><general>John Wiley & Sons, Ltd</general><general>Wiley Periodicals Inc</general><scope>BSCLL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TQ</scope><scope>8BJ</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope></search><sort><creationdate>201108</creationdate><title>COMBATING HEALTHCARE COST INFLATION WITH CONCERTED ADMINISTRATIVE ACTIONS IN A CHINESE PROVINCE</title><author>He Jingwei, Alex</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4232-87c064815631a6ce3a90fd834b2d95bb1d0ff268f26f01cd429a793702a804173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Accountability</topic><topic>administrative action</topic><topic>Administrative efficiency</topic><topic>China</topic><topic>China (People's Republic)</topic><topic>Cost</topic><topic>Cost containment</topic><topic>Cost control</topic><topic>Cost effectiveness</topic><topic>cost inflation</topic><topic>Costs</topic><topic>Health care expenditures</topic><topic>Health care industry</topic><topic>Health care policy</topic><topic>Health costs</topic><topic>Health economics</topic><topic>Health policy</topic><topic>Hospitals</topic><topic>incentive</topic><topic>Inflation</topic><topic>Ownership and control</topic><topic>policy instruments</topic><topic>Provinces</topic><topic>Public expenditure</topic><topic>Revisions</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>He Jingwei, Alex</creatorcontrib><collection>Istex</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>PAIS Index</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><jtitle>Public administration and development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>He Jingwei, Alex</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>COMBATING HEALTHCARE COST INFLATION WITH CONCERTED ADMINISTRATIVE ACTIONS IN A CHINESE PROVINCE</atitle><jtitle>Public administration and development</jtitle><addtitle>Public Admin. 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This article defies the traditional notion that cost inflation in healthcare could hardly be curbed without the significant revision of economic incentive scheme, but demonstrates the possibility of containing cost inflation with concerted administrative actions in the Chinese context. It examines the case of Fujian Province that embarked on a health bureaucracy‐led policy reform without an alteration of economic levers but mainly using administrative tools to combat cost escalation. Through clearly defined, well designed, targeted and concerted administrative measures, effective cost containment is attainable in China's healthcare sector, at least in the short run. If combined well with the powerful economic instruments, administrative tools would be able to augment their effects in cost containment, provided with the government's possession of hospital ownership. At the heart of Fujian's case are the reassertion of the government stewardship, the reconstruction of the collapsed accountability mechanisms, the reconfiguration of policy instruments, and the revision of administrative incentives, rather than the decreased costs per se. Copyright © 2011 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><doi>10.1002/pad.602</doi><tpages>15</tpages></addata></record> |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete; PAIS Index; Political Science Complete (EBSCOhost); Business Source Complete |
| subjects | Accountability administrative action Administrative efficiency China China (People's Republic) Cost Cost containment Cost control Cost effectiveness cost inflation Costs Health care expenditures Health care industry Health care policy Health costs Health economics Health policy Hospitals incentive Inflation Ownership and control policy instruments Provinces Public expenditure Revisions Studies |
| title | COMBATING HEALTHCARE COST INFLATION WITH CONCERTED ADMINISTRATIVE ACTIONS IN A CHINESE PROVINCE |
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