Healthcare payment incentives: A comparative analysis of reforms in Taiwan, South Korea and China

被引：8
作者：
Eggleston K. [1 ,2 ,4 ]
Hsieh C.-R. [3 ]
机构：
[1] Department of Economics, Tufts University, Medford, MA
[2] Kennedy School of Government, Harvard University, Cambridge, MA
[3] Institute of Economics, Academia Sinica, Taipei
[4] Department of Economics, Tufts University, Medford
来源：
Applied Health Economics and Health Policy | 2004年 / 3卷 / 1期
关键词：
National Health Insurance; Cost Sharing; Payment Incentive; Village Doctor; Emerge Market Economy;
D O I：
10.2165/00148365-200403010-00009
中图分类号：
学科分类号：
摘要：
Payment incentives to both consumers and providers have significant consequences for the equity and efficiency of a healthcare system, and have recently come to the fore in health policy reforms. This review first discusses the economic rationale for the apparent international convergence toward payment systems with mixed demand- and supply-side cost sharing. The recent payment reforms undertaken in Taiwan, South Korea and China are then summarised. Available evidence clearly indicates that payment incentives matter, and, in particular, that supply-side cost sharing can improve efficiency without undermining equity. Further study and monitoring of health service quality and risk selection is warranted. © 2004 Adis Data Information BV. All rights reserved.
引用
收藏
页码：47 / 56
页数：9
相关论文
共 46 条
  • [1] Cutler D.M., Equality, efficiency, and market fundamentals: The dynamics of international medical-care reform, J Econ Lit, 40, pp. 881-906, (2002)
  • [2] Yang B., The role of health insurance in the growth of the private health sector in Korea, Private Health Sector Growth in Asia: Issues and Implications, pp. 61-81, (1997)
  • [3] Lu J., Hsieh C., An economic analysis of Taiwan's hospital market, Hospital Industry Academic Conference (Yiyuan Chanye Xueshu Yantaohui)
  • [4] Zhao K., Gao G., Wan Q., A report on the calculation of China's total health expenditure in 2000, Chin Health Econ, 21, pp. 29-32, (2002)
  • [5] World Development Indicators 2000, (2000)
  • [6] Newhouse J.P., Pricing the Priceless: A Health Care Conundrum, (2002)
  • [7] Kornai J., Eggleston K., Welfare, Choice and Solidarity in Transition: Reforming the Health Sector in Eastern Europe, (2001)
  • [8] Kornai J., Eggleston K., Choice and solidarity: The health sector in Eastern Europe and proposals for reform, Int J Health Care Finance Econ, 1, pp. 59-84, (2001)
  • [9] Zeckhauser R.J., Medical insurance: A case study of the tradeoff between risk spreading and appropriate incentives, J Econ Theory, 2, pp. 10-26, (1970)
  • [10] Eggleston K., Risk selection and optimal health insurance-provider payment systems, J Risk Insur, 67, pp. 173-196, (2000)
12345