Health Care Systems In Developing Countries In Asia
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Health Care Systems in Developing Countries in Asia by Christian Aspalter,Kenny Teguh Pribadi,Robin Gauld Pdf
For the last two decades, major Asian economies have successfully kept their economic growth momentum going. Now, as these economies are entering a new phase of economic growth, more attention is being paid to their respective states of social development, especially the provision and the expansion of social security and, in particular, health care. Academic study of the development of health care in developing countries has been for the most part neglected by the literature, and in-depth country case studies that are directly comparable on a one-to-one basis have not yet been conducted in a systematic manner. This book volume also proposes a new stance on health policy and the health care policy paradigm, one that focuses on "saving lives" from premature death, as well as illness, accidents, misery and poverty, based on the normative theory of developmental social policy (DSP). This groundbreaking book will therefore serve as a valuable reference volume for health policy, social policy and public policy experts, social development experts, health and development economists, health sociologists, social workers, government administrators as well as other medical and health professionals and academics.
Author : Adam Wagstaff Publisher : World Bank Publications Page : 21 pages File Size : 54,7 Mb Release : 2005 Category : Health systems agencies ISBN : 8210379456XXX
"The health systems of Japan and the Asian Tigers--Hong Kong (China), the Republic of Korea, Singapore, and Taiwan (China)--and the recent reforms to them provide many potentially valuable lessons to East Asia's developing countries. All five systems have managed to keep a check on health spending despite their different approaches to financing and delivery. These differences are reflected in the progressivity of health finance, but the precise degree of progressivity of individual sources and the extent to which households are vulnerable to catastrophic health payments depend too on the design features of the system-the height of any ceilings on social insurance contributions, the fraction of health spending covered by the benefit package, the extent to which the poor face reduced copayments, whether there are caps on copayments, and so on. On the delivery side, too, Japan and the Tigers offer some interesting lessons. Singapore's experience with corporatizing public hospitals-rapid cost and price inflation, a race for the best technology, and so on-shows the difficulties of corporatization. Korea's experience with a narrow benefit package shows the danger of providers shifting demand from insured services with regulated prices to uninsured services with unregulated prices. Japan, in its approach to rate-setting for insured services, has managed to combine careful cost control with fine-tuning of profit margins on different types of care. Experiences with diagnosis-related groups in Korea and Taiwan (China) point to cost-savings but also to possible knock-on effects on service volume and total health spending. Korea and Taiwan (China) both offer important lessons for the separation of prescribing and dispensing, including the risks of compensation costs outweighing the cost savings caused by more "rational" prescribing, and cost-savings never being realized because of other concessions to providers, such as allowing them to have onsite pharmacists. "--World Bank web site.
Transforming Health Markets in Asia and Africa by Gerald Bloom Pdf
There has been a dramatic spread of health markets in much of Asia and Africa over the past couple of decades. This has substantially increased the availability of health-related goods and services in all but the most remote localities, but it has created problems with safety, efficiency and cost. This book documents the problems associated with unregulated health markets and presents innovative approaches that have emerged to address them.
Health Care Systems in Europe and Asia by Christian Aspalter,Yasuo Uchida,Robin Gauld Pdf
This book addresses the global need for more comparative studies on health policy and health care systems, given the rise in recent decades of societal aging, modern mass diseases, economic globalization, and resulting permanent fiscal austerity of governments which have fundamentally altered the status quo of health care systems. The book examines the healthcare experiences of the most developed countries in Asia (Japan, South Korea, Taiwan and Singapore) and compares these with four of the most important health care systems in Europe (UK, France, Germany and Italy). Focusing on the public health care systems the contributors discuss the rising need for reforms in health care and health insurance administration, delivery systems, financing and overall health care policy strategies, particularly in fast-aging societies in Asia, and highly aged societies in Europe. This book will appeal to students and scholars of health care policy, health and social administration, social policy, public policy and social work. It will also provide a reference for professionals who need a view of the trajectory of public health financing in relation to changed and changing demographics and disease patterns.
Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes) by Anonim Pdf
During the past three decades, health care systems in the East Asian regions of China, Japan, South Korea, and Taiwan have undergone major changes. Each system has its unique achievements and challenges. Global health care policymakers are increasingly interested in understanding the changes that have taken place in these four systems. This four-volume reference set is designed to help health care professionals, academics, policymakers, and general readers gain a good grasp of the background and latest developments in the health care systems of China, Japan, South Korea, and Taiwan. This reference set provides an in-depth comparative health policy analysis and discussion of health care reform strategies in each of these systems. One unique feature of this set is that each volume has been edited by a leading scholar who has been deeply involved in the development of the health care system in that particular region. Each of these editors also has invited both scholars and practitioners to provide a first-hand description and analysis of key health care reform issues in that system. The many examples provided in each volume demonstrate how findings of evidence-based policy research can be implemented into policy practice.Volume 1 describes and discusses China's ambitious and complex journey of health care reform since 2009. The Chinese government has achieved universal health insurance coverage and has embarked on reforms of the service delivery system and provider payment methods that are aimed at controlling health expenditure growth and improving efficiency. This volume includes pilot and social experiments initiated by the government and researchers and their evaluations that have guided the formulation of health reform policies. It provides information on how to make reforms work at the local and provincial levels. The findings detailed in this volume will contribute to a global knowledge base in health care reforms.Volume 2 provides a comprehensive review and evaluation of the Japanese health care system. Japan has a long history of health care system development and provision of universal health coverage, with a mature and well-developed health care system among East Asian countries. However, due to increases in health care costs, economic stagnation and the country's rapidly aging population, Japan has undergone significant health care reform during the last two decades, both in the delivery as well as financing of health services in its hospital sector, medical technology sector and long-term care insurance. Despite these challenges and reforms, health outcomes among the Japanese population have been progressively among the best in the world. This volume shows how policy research can lead to policy analysis, implementation and assessment. It also provides valuable lessons learnt for mutual learning among other health care systems.Volume 3 offers a comprehensive review of the developments in South Korea's national health insurance system since 1989 in terms of financing, delivery systems, and outcomes. The volume analyzes the efficiency of cost and service delivery by public sectors versus private sectors. It points out areas of challenge to future Korean health care reform. Chapter authors in this volume are leading experts involved in Korean health care policy implementation.Volume 4 reviews the development and achievements of Taiwan Health Insurance since 1995. Because of its continuous reform in payment, services delivery, and pharmaceutical technology, Taiwan has been considered a model example of universal health insurance among global health systems. This volume shows the processes used to translate policy research findings into policy changes. While the health care reform in Taiwan is ongoing, the Taiwan example provides a real-world and practical understanding of health care system changes.In summary, this four-volume set makes an outstanding contribution to health care system reform and policy research, based on solid scholarly work. It also introduces policy researchers and academic communities to current debates about health systems, health financing, and universal health coverage. This reference volume is a must for anyone keen on East Asia's health care system reform dynamics and changing scene.
Asia's Role in Governing Global Health by Kelley Lee,Tikki Pang,Yeling Tan Pdf
In an era of rapid and extensive globalisation, the world faces a wide range of transboundary problems that require effective collective action. Key among these are threats to human health that do not recognise national borders, and include emerging and re-emerging infections, rising rates of chronic diseases, inadequate access to affordable and safe medicines, spreading anti-microbial resistance and the health effects of climate change. These threats require a transnational response and thus pose significant challenges to global health governance, as well as to long established notions of national sovereignty. This book investigates the neglected question of the impact of a rising Asia on the management of transboundary health problems. The chapters examine the role played by Asia in the governance of a range of global health issues, from development assistance in health, to global health instruments dealing with tobacco control and disease outbreaks, to health research and knowledge products, and the book concludes by examining the broad themes of a rising Asia’s role in the complexity of global health governance. The various analyses are tied together by a common focus on Asian countries’ use of the sovereignty principle, and seek to understand how traditional notions of national sovereignty can both clash with, and enhance, governance objectives in global health. In addition, the contributors examine the interaction between global, regional and domestic institutions, and present current ideas in Asia on the challenge of governing global health. With an inter-disciplinary approach that combines international relations, public policy and public health, this book will be invaluable to both scholars and policy makers working in these fields, as well as Asian politics, social policy and governance more generally.
Author : Charles C. Griffin Publisher : World Bank Publications Page : 264 pages File Size : 40,6 Mb Release : 1992 Category : Asien ISBN : UCSD:31822021306980
This report assembles data on health, demographic trends, health infrastructure, health personnel, and health financing across Asian countries. In a broad manner, it attempts to relate differences in spending priorities and patterns to health outcomes. This effort should be viewed as a complement to country-specific and household-level analysis. The objective of the study is to assemble data essential for making sensible public policy decisions in the health sector. It is an inductive, exploratory study. The study reviews mortality data, medical inputs, and health expenditures. It attempts to construct a health profile for the developing countries of Asia using cause-of-death information, the age structure of the populations, and related evidence. Data assembled for the years 1986 - 1987 on sources of health expenditure, health infrastructure, and related financial data are reviewed. A chapter is devoted to the discussion of user fees and insurance, the two main alternatives to tax financing of public sector curative services. The study concludes by piecing together information from many sources in an attempt to assess the degree to which public subsidies in the health sector are targeted, and to whom.
The health systems of Japan and the Asian Tigers--Hong Kong (China), the Republic of Korea, Singapore, and Taiwan (China)--and the recent reforms to them provide many potentially valuable lessons to East Asia's developing countries. All five systems have managed to keep a check on health spending despite their different approaches to financing and delivery. These differences are reflected in the progressivity of health finance, but the precise degree of progressivity of individual sources and the extent to which households are vulnerable to catastrophic health payments depend too on the design features of the system-the height of any ceilings on social insurance contributions, the fraction of health spending covered by the benefit package, the extent to which the poor face reduced copayments, whether there are caps on copayments, and so on. On the delivery side, too, Japan and the Tigers offer some interesting lessons. Singapore's experience with corporatizing public hospitals-rapid cost and price inflation, a race for the best technology, and so on-shows the difficulties of corporatization. Korea's experience with a narrow benefit package shows the danger of providers shifting demand from insured services with regulated prices to uninsured services with unregulated prices. Japan, in its approach to rate-setting for insured services, has managed to combine careful cost control with fine-tuning of profit margins on different types of care. Experiences with diagnosis-related groups in Korea and Taiwan (China) point to cost-savings but also to possible knock-on effects on service volume and total health spending. Korea and Taiwan (China) both offer important lessons for the separation of prescribing and dispensing, including the risks of compensation costs outweighing the cost savings caused by more "rational" prescribing, and cost-savings never being realized because of other concessions to providers, such as allowing them to have onsite pharmacists.
Making Health Services More Accessible in Developing Countries by H. Uchimura Pdf
Health is increasingly a critical concern in the context of development. This book examines the function of health systems, particularly the key factors: finance, human resources, pharmaceuticals, public facilities and stresses the importance of improving access to health services in developing countries.
The underlying dynamics of health care systems in developing countries: Health policy, planning and the Impact of Social Economic Status (SES) on Health Disparities by Mukasa Aziz Hawards Pdf
The impact of health policy and planning are tremendous remedies through which the health care systems derive their primary potentials in the health promotion ventures and interventions. The programs designed in the health arena are tentatively equivocal and submissive to the implications influenced by the policy development criteria and much more open to the planning process. Every day, healthcare organizations are faced with crucial decisions about improving their systems of care and a lack of critical information to guide them. The research they need should be designed to help them provide better care to the patients in their organization, effectively and efficiently. Where does the Medicaid and the medical care strategies, as pursued in the United States of America, have their remedies through policy structure and together with the political culture associated to the system, or perhaps how possible is it that japan has the highest life expectancy co-efficient. The book is more of a fact file as results were generated by the health care research from suitable sectors and comparisons derived from the well-off health care states mainly from the OECD fraternity, as these bare differences due to policy even when their economic bases differ by small percentages. This work should be helpful in directing and providing us with traceable landmarks to follow while seeking to avert the challenges that weaponize the communicable disease prevalence in the society for both the developed and the low developed states.
Disease, Human Health, and Regional Growth and Development in Asia by Amitrajeet A. Batabyal,Yoshiro Higano,Peter Nijkamp Pdf
This book brings together new studies on regional disparities in the provision and maintenance of health in Asia. Specifically, the individual chapters shed light on the various health challenges that Asian regions face with regard to environmental health, communicable and non-communicable diseases, reproductive health, and the development of health systems. The book departs from the existing literature on this subject in three ways. First, it explicitly recognizes that health is essential to the daily lives of human beings. Second, it underscores the fact that good health improves learning, employee productivity, and incomes. Third, the book demonstrates the ways in which an understanding of the preceding two points contributes to our grasp of economic growth and development. Because Asia is now the fastest-growing and most dynamic continent in the world, the respective chapters provide practical guidance concerning two key questions: First, how do we effectively address the health challenges in individual regions of Asia? Second, how do we ensure that the proposed health interventions lead to sustainable economic growth and development? To this end, the book emphasizes modeling and illustrates the role that sound empirical modeling can play in developing measures that sustainably address the health challenges confronting disparate Asian regions. All chapters were written by international experts who are active researchers in their respective fields. Hence, this book is highly recommended to all readers seeking an in-depth and up-to-date perspective on some of the most important issues at the interface of human health and regional growth and development in Asia.
Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove
Author : Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove Publisher : World Bank Publications Page : 1449 pages File Size : 50,7 Mb Release : 2006-04-02 Category : Medical ISBN : 9780821361801
Disease Control Priorities in Developing Countries by Dean T. Jamison,Joel G. Breman,Anthony R. Measham,George Alleyne,Mariam Claeson,David B. Evans,Prabhat Jha,Anne Mills,Philip Musgrove Pdf
Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.
Health Financing Revisited by Pablo Enrique Gottret,George Schieber Pdf
This overview of health financing tools, policies and trends--with a particular focus on challenges facing developing countries--provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and demographic analytics as well as the institutional realities faced by developing countries, and assesses policy options in the context of global evidence, the international aid architecture, cross-sectoral interactions, and countries' macroeconomic frameworks and overall development plans.
The Economics of Health Care in Asia-Pacific Countries by Teh-wei Hu,Chee-Ruey Hsieh Pdf
In order to control ever-increasing health care expenditure, Western and Asian countries are seeking to develop more efficient health care models. Studies on health care that focus specifically on Asian countries are rare, rendering this a unique and welcome addition to the literature. This book presents quantitative research on various aspects of health care reform and health policy in Asia-Pacific countries such as China, Indonesia, Japan, South Korea, Taiwan, and the US - nations diverse in their economic development, social demographic structure and health care expenditures.
