The book assesses the policy actions of select Asian governments (China, India, Hong Kong, South Korea, Singapore and Thailand) to address critical health system functions from a policy design perspective. The findings show that all governments in the region have made tremendous strides in focussing their attention on the core issues and, especially, the interactions among them. However, there is still insufficient appreciation of the usefulness of public hospitals and their efficient management. Similarly, some governments have not made sufficient efforts to establish an effective regulatory framework which is especially vital in systems with a large share of private providers and payers. A well-run public hospital system and an effective framework for regulating private providers are essential tools to support the governance, financing, and payment reforms underway in the six health systems studied in this book.
South Asia is a region of contrasts, with impressive technological achievements but also more than 40 percent of the world's poor. These contrasts are evident in the health sector, which demonstrates large variations in health, nutrition, and fertility outcomes.'Health Policy Research in South Asia' showcases some of the innovative qualitative and quantitative research methodologies being used in South Asia to provide empirical guidance for health sector reform and policy development. The four research areas presented are analysis of inequality, expenditure analysis, private sector analysis, and consumer and provider perspectives.Salient themes emerge from the 12 health policy research activities reviewed and emphasize the importance of strengthening local capacity and building ownership: • Governments can and should distribute subsidies in the health sector more efficiently and effectively. • The private sector, which dominates service delivery in most of South Asia, requires a different set of public sector policy instruments. • Informed consumers/citizens can and should play an important role in influencing health service delivery. • Empirical research can and should provide policymakers with some of the tools needed to improve and monitor the performance of the sector. This book will be of interest to health sector policymakers and analysts, to academics and students in public health and health economics, and to anyone with an interest in the impact ofhealth policy on development.
Health patterns in Southeast Asia have changed profoundly over the past century. In that period, epidemic and chronic diseases, environmental transformations, and international health institutions have created new connections within the region and the increased interdependence of Southeast Asia with China and India. In this volume leading scholars provide a new approach to the history of health in Southeast Asia. Framed by a series of synoptic pieces on the "Landscapes of Health" in Southeast Asia in 1914, 1950, and 2014 the essays interweave local, national, and regional perspectives. They range from studies of long-term processes such as changing epidemics, mortality and aging, and environmental history to detailed accounts of particular episodes: the global cholera epidemic and the hajj, the influenza epidemic of 1918, WWII, and natural disasters. The writers also examine state policy on healthcare and the influence of organizations, from NGOs such as the China Medical Board and the Rockefeller Foundation to grassroots organizations in Thailand, Indonesia, and the Philippines.
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.
This contributed volume is the first-known collection of essays that brings together scholarly review, critiques, and primary and secondary data to assess how sociocultural factors influence health behavior in South Asian women. The essays are authored by working scholars or healthcare practitioners from Bangladesh, India, and Pakistan. In the chapters, the contributors acknowledge social, economic, and environmental factors to recommend improved interventions and health policy for women of the region. Studies on South Asian women’s health have targeted clinical evidence, with less attention on social and environmental factors driving health recovery and health outcomes. The South Asian region, more than any other part of the world, is driven by traditional and cultural forces that are possibly the most significant factors determining a woman’s health awareness and her rights to adopt healthy behavior or pursue health recovery. Women of the region share a common culture and political history, and there are benefits to understanding their problems collectively in order to design joint improvements in health policy for women. Salient, but neglected, socio-political areas that influence health behavior and health outcomes in women of the region are covered in the chapters including: Oral Narrations of Social Rejection Suffered by South Asian Women with Irreversible Health Conditions Women’s Role in Decision-Making for Health Care in South Asia Poverty, Health Coverage, and Credit Opportunities for South Asian Women Refugee, Displaced, and Climate-Affected Women of South Asia and Their Health Challenges The Political Sociology of South Asian Women’s Health The Sociology of South Asian Women’s Health is a useful resource for students, researchers, and academicians, especially those interested in public health, gender, social policy, and occupational management, as well as healthcare practitioners, administrators, health and public policy-makers, government officers, and scholars of South Asian studies.
Life expectancy in Japan, South Korea, and much of urban China has now outpaced that of the United States and other high-income countries. With this triumph of longevity, however, comes a rise in the burden of noncommunicable diseases (NCDs) like diabetes and hypertension, reducing healthy life years for individuals in these aging populations, as well as challenging the healthcare systems they rely on for appropriate care. The challenges and disparities are even more pressing in low- and middle-income economies, such as rural China and India. Moreover, the COVID-19 pandemic has underscored the vulnerability to newly emerging pathogens of older adults suffering from NCDs, and the importance of building long-term, resilient health systems. What strategies have been tried to prevent NCDs—the primary cause of morbidity and mortality — as well as to screen for early detection, raise the quality of care, improve medication adherence, reduce unnecessary hospitalizations and increase “value for money” in health spending? Fourteen concise chapters cover multiple aspects of policy initiatives for healthy aging and economic research on chronic disease control in diverse health systems — from cities such as Singapore and Hong Kong to large economies such as Japan, India, and China.
This book explores human well-being in South Asia from a policy dimension. It discusses the cultural history and diversity of the region in order to highlight major priority areas of public policy to improve people’s quality of life. The huge gap between economic development and human development, in areas such as education, health and income, is a concern for policymakers, researchers and other stakeholders. The book helps develop a strong argument for a shift of focus of state’s expenditures aimed at improving human well-being, and assesses public policy initiatives from the perspectives of the stakeholders such as the state, the market, households, civil society as well as NGOs and agencies involved in this development mission. As such it is of great interest to scholars in the field of quality-of-life and well-being research and policymakers at national and international level.
This book is the first to present a regional analysis of climate change and human health, focusing on geographically and socio-economically distinct countries of South and Southeast Asia. It has a major focus on India, Indonesia, Bangladesh, Malaysia, Thailand, Nepal and Taiwan. Climate change is a significant and emerging threat to human health. lt represents a range of environmental hazards and will affect populations in both the developed and developing countries. In particular, it affects the regions where the current burden of climate-sensitive diseases are high, which is the case in South and Southeast Asian countries.
