书目名称 | The Effects of Social Health Insurance Reform on People’s Out-of-Pocket Health Expenditure in China | 副标题 | The Mediating Role o | 编辑 | Kai Liu | 视频video | | 概述 | The first book to investigate the mediating role institutional arrangement plays in the relationship between social health insurance participation and out-of-pocket health expenditures in China.Reveal | 图书封面 |  | 描述 | This study examines and explains the relationship between social health insurance (SHI) participation and out-of-pocket expenditures (OOP) as well as the mediating role the institutional arrangement of SHI plays in this relationship in China. Embracing a new institutionalist approach, it develops two analytical perspectives: determination, which identifies the mechanisms of social health insurance, and strategic interaction, which explores the interaction among social health insurance agencies, healthcare providers, patients, and institutions. It reveals the poor performance of social health insurance in decreasing out-of-pocket health expenditures caused by a trade-off between the reimbursement, behavior management, and purchasing mechanisms of social health insurance programs. Further, it finds that the inequitable allocation of healthcare resources and patients’ concerns regarding the benefits offset the strategies used by social health insurance agencies to manage care-seekingbehavior. It also discovers that the complex interactions between insurance agencies, doctors, patients and a larger disenabling institutional surrounding restricts the purchasing efficiency of social heal | 出版日期 | Book 2016 | 关键词 | Chinese society; healthcare reform; social health insurance; out-of-pocket expenditure; health expenditu | 版次 | 1 | doi | https://doi.org/10.1007/978-981-10-1777-3 | isbn_softcover | 978-981-10-9445-3 | isbn_ebook | 978-981-10-1777-3 | copyright | Springer Nature Singapore Pte Ltd. 2016 |
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