Regulating Health Care Markets In China And India

Bloom, Gerald; Kanjilal, Barun; Peters, David H.
July 2008
Health Affairs;Jul/Aug2008, Vol. 27 Issue 4, p952
Academic Journal
Health care markets in China and India have expanded rapidly. The regulatory response has lagged behind in both countries and has followed a different pathway in each. Using the examples of front-line health providers and health insurance, this paper discusses how their different approaches have emerged from their own historical and political contexts and have led to different ways to address the main regulatory questions concerning quality of care, value for money, social agreement, and accountability. In both countries, the challenge is to build trust-based institutions that rely less on state-dominated approaches to regulation and involve other key actors.


Related Articles

  • Monitor calls for more freedom for NHS purchasers. Gainsbury, Sally // Public Finance;10/21/2005, p7 

    Reports on the call for freedom of local health commissioners from central control in Great Britain. Demand for the Department of Health to act as headquarters of a major insurance company but leaving local purchasers to manage target; Need of having separation between an economic regulator and...

  • State Legislation Inhibiting the Operation of Managed Care Pharmacy Programs Increases Costs. Masso, Anthony R.; O'Hara, Joseph // Benefits Quarterly;1993 Third Quarter, Vol. 9 Issue 3, p46 

    Managed care has become integral to health care reform proposals, yet U.S. state legislatures are increasingly asked to enact laws that would inhibit its growth. This article examines the impact of such restrictive measures on the effectiveness of managed care. The many components of managed...

  • Will China's Nutrition Transition Overwhelm Its Health Care System And Slow Economic Growth? Popkin, Barry M. // Health Affairs;Jul/Aug2008, Vol. 27 Issue 4, p1064 

    Rapid social and economic change is transforming China, with enormous implications for its population and economy. More than a fifth of China's adult population is overweight, related to changing dietary and physical activity patterns. Overweight and poor diets are becoming a greater burden for...

  • RX FOR THE U.S. HEALTH CARE CRISIS. Brock, Horace W. // Financial Executive;Jan/Feb1992, Vol. 8 Issue 1, p10 

    This article presents an analysis of the United States health care system. To avoid the problem of moral hazard in insurance and skyrocketing costs, the author advocates a cost-sharing systems. He contends that the business community needs to form alliances with the health care industry to...

  • Decentralization And Public Delivery Of Health Care Services In India. Singh, Nirvikar // Health Affairs;Jul/Aug2008, Vol. 27 Issue 4, p991 

    This paper examines delivery of public health care services in India, in the broader context of decentralization. It provides an overview of the basic features and recent developments in intergovernmental fiscal relations and accountability mechanisms, and it examines the implications of these...

  • Improving Health Services In India: A Different Perspective. Schweitzer, Julian // Health Affairs;Jul/Aug2008, Vol. 27 Issue 4, p1002 

    Two papers in this volume focus on public finance and decentralization as central to resolving India's systemic public health crisis. However, some states and districts have achieved success despite serious financial and administrative deficits; this suggests that factors such as political...

  • Tackling HIV In India: Evidence-Based Priority Setting And Programming. Claeson, Mariam; Alexander, Ashok // Health Affairs;Jul/Aug2008, Vol. 27 Issue 4, p1091 

    In the wake of a downward revision of the number of HIV-infected people, India is launching an ambitious US$2.5 billion, five-year HIV plan. Responding to new data on HIV prevalence and risk behavior, India has earmarked almost 70 percent of the budget for prevention; one-third focuses on...

  • Increased Patient Cost-Sharing, Weak US Economy, and Poor Health Habits: Implications for Employers and Insurers. Haren, Melinda C.; McConnell, Kirk; Shinn, Arthur F. // American Health & Drug Benefits;Apr/May2009, Vol. 2 Issue 3, p134 

    Many healthcare stakeholders, including insurers and employers, agree that growth in healthcare costs is inevitable. But the current trend toward further cost-shifting to employees and other health plan members is unsustainable. In 2008, the Zitter Group conducted a large national study on the...

  • The Evolution Of Health Insurance In India And China. Pauly, Mark V. // Health Affairs;Jul/Aug2008, Vol. 27 Issue 4, p1016 

    Health insurance in rapidly developing countries such as India and China needs to be segmented. One challenge is that the main advantage of health insurance for a family is the financial protection the insurance provides, which may trade off against public policy goals of increasing access,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics