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
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
  • [41] Yip W., Eggleston K., Addressing government and market failures with payment incentives: Hospital reimbursement reform in Hainan, China, Soc Sci Med, 58, 2, pp. 267-277, (2004)
  • [42] Yip W., Hsiao W.C., Medical savings accounts: Lessons from China, Health Aff, 16, pp. 244-251, (1997)
  • [43] Yang W., Li X., The effectiveness evaluation of capitation of outpatient items in the government employees' insurance system, Chin Health Econ, 12, pp. 57-59, (1999)
  • [44] Eggleston K., Yip W., Hospital competition under regulated prices: Application to urban health sector reforms in china, Int J Health Care Finance Econ
  • [45] Gertler P.J., Hammer J.S., Strategies for pricing publicly provided health services, World Bank Conference, pp. 127-154
  • [46] Djankov S., Murrell P., Enterprise restructuring in transition: A quantitative survey, J Econ Lit, 40, pp. 739-792, (2002)