This book explores the institutional factors in social policymaking and implementation in China. From the performance evaluation system for local cadres to the intergovernmental fiscal system, local policy experimentation, logrolling among government departments, and the “top-level” design, there are a number of factors that make policy in China less than straightforward. The book argues that it is bureaucratic incentive structure lead to a fragmented and stratified welfare system in China. Using a variety of Chinese- and English-language sources, including central and local government documents, budgetary data, household surveys, media databases, etc., this book covers the development of China’s pensions, health insurance, unemployment insurance, and social assistance programs since the 1990s, with a focus on initiatives since the outbreak of the COVID-19 pandemic. Providing a deeper understanding of policymaking and implementation in China, this book interests scholars of public administration, political economy, Asian politics, and social development.
Most of the existing literature on health system reform in China deals with only one part of the reform process (for example, financing reform in rural areas, or the new system of purchasing pharmaceuticals), or consists of empirical case studies from particular cities or regions. This book gives a broad overview of the process of health system reform in China. It draws extensively both on the Western literature in health economics and on the experience of health care reform in a number of other countries, including the US, UK, Holland, and Japan, and compares China's approach to health care reform with other countries. It also places the process of health system reform in the context of re-orienting China's economic policy to place greater emphasis on equity and income distribution, and analyzes the interaction of the central and local governments in designing and implementing the reforms. This book will be of interest to policymakers, academics, students of health economics, health policy and health administration, and people who are interested in Chinese social policy.
By reviewing regulatory initiatives in health financing, service provision, pharmaceutical sector and public health, this book attempts to connect recent research with policy developments in the Chinese health-care system. While there are a small number of studies on the regulations in the Chinese health-care system, this book contributes to the literature in three ways. First, a review of the recent developments in the Chinese health-care system illustrates that the capacity and incentives of the regulatory agencies matter in the implementation and enforcement of the regulations. Second, this book also shows that some institutional arrangements in the Chinese context are particularly important for configuring the capacity and incentives of the regulatory system. Third, this book lays out the mechanisms for the regulatory reform of the Chinese health-care system.
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