New Publication: Impact of global budget combined with pay-for-performance on the quality of care in county hospitals: a difference-in-differences study design with a propensity-score-matched control group using data from Guizhou province, China

Background: Provider payment system has a profound impact on health system performance. In 2016, a number of counties in rural Guizhou, China, implemented global budget (GB) for county hospitals with quality control measures. The aim of this study is to measure the impact of GB combined with pay-for-performance on the quality of care of inpatients in county-level hospitals in China. Methods: Inpatient cases of four diseases, including pneumonia, chronic asthma,…

2021 Chinese Health Economics Development Forum: Trends in Multi-tiered Insurance Programs

Fourth Chinese Health Economics Development Forum Event Poster

In 2009, China embarked on health reforms that would eventually expand coverage of its social health insurance (SHI) programs to approximately 96% of the population. To ensure the long-term financial sustainability of its social health insurance programs, China is assessing the package of services that should be covered under its SHI programs and considering the potential role of commercial insurance in providing supplementary coverage. The Fourth Chinese Health Economics Development…

Professor Winnie Yip Discusses Pathways to UHC at 2021 World Health Forum

World Health Forum Event Poster

At the opening plenary session of the inaugural World Health Forum hosted by Tsinghua University, Dr. Winnie Yip, Faculty Director of the Harvard China Health Partnership, was invited to share her long-running research on pathways to universal health coverage and lessons for China’s health system. Opening remarks at the Forum, themed “Building a Resilient Public Health System,” were delivered by Vice Premier SUN Chunlan, and approximately 400,000 attendees joined the…

New Publication: Hospital response to a case-based payment scheme under regional global budget: the case of Guangzhou in China

Social Science and Medicine

Both developed and developing countries have been searching for effective provider payment methods to control health expenditure inflation. In January 2018, Guangzhou city in Southern China initiated an innovative case-based payment method for inpatient care under the framework of the regional global budget, called the Diagnosis-Intervention Packet (DIP). Contrary to the usual practice of the case-based payment, the DIP payment scheme includes a price adjustment mechanism through which the actual…

iNewsweek: China’s village medicine – how did we get here?

In an interview with iNewsweek (Chinese: 中国新闻周刊), Dr. Winnie Yip discusses the historical transition in China’s health system towards its current hospital-centric care delivery model. Prior to China’s health reforms, village-level doctors were the main providers of patient care. The quality of services provided by these village doctors was highly variable, and many of them exhibited profit maximization behavior by limiting provision of services with lower subsidies. This began to change…

HCHP Newsletter – China Health Connection

The latest issue of the Harvard China Health Partnership’s newsletter China Health Connection has been released. This newsletter brings readers the latest news on the progress we are making across our research portfolio and the positive impact HCHP’s work is having on strengthening China’s health system. In this issue, Faculty Director Winnie Yip discusses HCHP’s work on ageing in China, the research we showcased at the 2021 Congress of the International Health Economics…

New Publications on Chronic Disease Management

Healthcare in Rural China

The management of chronic disease and its economic impact on households in rural China have been the focus of three articles recently published by our team based on our collaboration with the primary health care project of the National Health Commission and the Bill and Melinda Gates Foundation. Stronger primary care management of chronic disease was found to decrease unnecessary hospitalizations and this reduce financial burden. Chen, Siyuan, Wuping Zhou,…

New Publication: Health service underutilization and its associated factors for chronic diseases patients in poverty-stricken areas in China: a multilevel analysis

This study aims to describe health services underutilization for people diagnosed with chronic diseases in impoverished regions and to identify its associated factors, which is expected to have practical implications for the implementations of interventions tailored to the specific needs of disadvantaged residents in rural China to achieve effective utilization of health services in a timely manner. Our results suggest that the implementation of a series of comprehensive strategies should…

Financing and Providing Basic Healthcare to Two Billion People in Low-and Lower-Income Countries for UHC

Leading up to the 2021 International Health Economics Association (iHEA) Congress, the Harvard China Health Partnership hosted “Financing and Providing Basic Healthcare to Two Billion People in Low-and Lower-Income Countries For UHC” as a pre-Congress session on July 9, 2021 from 8-10am EDT. Event Background In recent years, most nations have embraced the noble goal of universal health coverage (UHC), but unfortunately, the world has not yet identified a way around…

Ageing in China: Labor Participation, Retirement, Pension and Long-term Care Insurance

Leading up to the 2021 International Health Economics Association (iHEA) Congress, the Harvard China Health Partnership hosted “Ageing in China: Labor Participation, Retirement, Pension and Long-term Care Insurance” as a pre-Congress session on July 8, 2021 from 8-10am EDT. Event Background China’s population is ageing rapidly at a rate that surpasses most of its Asian neighbors and advanced economies in the West. In 2015, 10.5% of the population was aged 65+,…