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Reshaping the Regional Order of Health Care Resources in China: The Institutional Participants in an Inter-City Integrated Delivery System

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Listed:
  • Xuanyi (Maxwell) Nie

    (Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA
    Harvard University Graduate School of Design, Cambridge, MA 02138, USA)

  • Haobin (Bruce) Fan

    (Shanghai Academy of Social Sciences, Shanghai 200020, China
    School of Economics, Fudan University, Shanghai 200433, China
    The Development Research Center of Shanghai Municipal People’s Government, Shanghai 200003, China)

Abstract

Over the past decades, pro-growth policies in China led to rapid economic development but overlooked the provision of health care services. Recently, increasing attention is paid to the emergence of integrated delivery systems (IDS) in China, which is envisioned to consolidate regional health care resources more effectively by facilitating patient referral among hospitals. IDS at an inter-city scale is particularly interesting because it involves both the local governments and the hospitals. Incentives among them will affect the development of an inter-city IDS. This paper thereby builds an economic model to examine both the inter-local government and inter-hospital incentives when participating in an inter-city IDS in China. The findings suggest that while inter-hospital incentives matter, inter-local government incentives should also be considered because the missing incentives at the local government level may oppose the development of inter-city IDSs.

Suggested Citation

  • Xuanyi (Maxwell) Nie & Haobin (Bruce) Fan, 2021. "Reshaping the Regional Order of Health Care Resources in China: The Institutional Participants in an Inter-City Integrated Delivery System," IJERPH, MDPI, vol. 18(17), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9176-:d:626177
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    References listed on IDEAS

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    1. Fu, Hongqiao & Li, Ling & Yip, Winnie, 2018. "Intended and unintended impacts of price changes for drugs and medical services: Evidence from China," Social Science & Medicine, Elsevier, vol. 211(C), pages 114-122.
    2. Na Li & Nan Kong & Quanlin Li & Zhibin Jiang, 2017. "Evaluation of reverse referral partnership in a tiered hospital system – A queuing-based approach," International Journal of Production Research, Taylor & Francis Journals, vol. 55(19), pages 5647-5663, October.
    3. Karen Eggleston & Li Ling & Meng Qingyue & Magnus Lindelow & Adam Wagstaff, 2008. "Health service delivery in China: a literature review," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 149-165, February.
    4. Zhengna Song & Tinggan Yan & Yunjian Ge, 2018. "Spatial Equilibrium Allocation of Urban Large Public General Hospitals Based on the Welfare Maximization Principle: A Case Study of Nanjing, China," Sustainability, MDPI, vol. 10(9), pages 1-23, August.
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