The effects of social health insurance reform on people's out-of-pocket health expenditure in China : the mediating role of the institutional arrangement /: the mediating role of the institutional arrangement. ([2016])

• Record Type: Book
• Further Information: Note: Kai Liu.
• Authors: Liu, Kai
• Contents: Foreword; Acknowledgements; Contents; About the Author; Abbreviations; List of Figures; List of Tables; Summary; 1 Understanding a Paradox in the Social Health Insurance Reform in China; 1.1 Social Health Insurance in China; 1.2 An Emerging Paradox; 1.3 A Call for Investigating the Mediating Mechanisms of the Institutional Arrangement; 1.4 The Purpose of the Study; 2 A New Institutionalist Approach of Healthcare Reform; 2.1 Effects of Welfare Institutions on Social Outcomes: The Perspective of Determination; 2.1.1 A Conceptual Framework of Institutional Arrangements. 2.1.2 Developing a Hypothesized Model2.2 The Relationship Between Institutions and Actors: The Perspective of Strategic Interaction; 2.3 Methodology: Postpositivism and a Mixed-Methods Design; 2.3.1 Paradigm Shift and Postpositivism; 2.3.2 A Mixed-Methods Design; 2.4 Summary; 3 Effects of Social Health Insurance Participation on Patients' Out-of-Pocket Spending; 3.1 Method 1: Testing the Effect of SHI Participation on Patients' Medical Expenditure; 3.1.1 Data; 3.1.2 Measures; 3.1.3 Statistical Analysis. 3.2 Method 2: Testing the Mediating Effect of Institutional Arrangement in the Relationship Between SHI Participation and Hospitalized Patients' OOPS3.2.1 Data; 3.2.2 Measures; 3.2.3 Statistical Analysis; 3.3 Result 1: The Effect of SHI Participation on Patients' Medical Expenditure; 3.3.1 Descriptive Statistics; 3.3.2 Effects of SHI Participation on Medical Expenditure Indicators; 3.4 Result 2: The Mediating Effect of Institutional Arrangement in the Relationship Between SHI Participation and OOPS; 3.4.1 Descriptive Statistics; 3.4.2 Test of Measurement Model; 3.4.3 Test of Structural Model. 3.5 Summary of Findings4 Why Did Social Health Insurance Become a Care-Seeking Behavior Booster?; 4.1 Methods of the Qualitative Study; 4.1.1 Data Collection; 4.1.2 Thematic Analysis; 4.1.3 Reflexivity as Trustworthiness; 4.2 Strategies for Adjusting Patients' Care-Seeking Behaviors; 4.3 The Healthcare Provider: Undisciplined Competition with Asymmetrical Development; 4.3.1 The Improving Facility Sophistication of Primary Care Facilities; 4.3.2 The Outdated Technical Competence of Primary Care Facilities; 4.3.3 The Undisciplined Competition Between Health Facilities. 4.4 The Patient: A Health-Prioritizing and Facility-Sophistication-Oriented Consumer4.4.1 The Combined Effects of Patients' Health Consciousness and Economic Status; 4.4.2 The Facility-Sophistication-Oriented Care-Seeking Behavior; 4.4.3 Social Relations as an Intermediary/Warrantor; 4.5 SHI and Its Agency: A Behavior Booster Rather Than Manager; 4.5.1 Inefficient Referral System and Tiered Copayment and Deductibles; 4.5.2 SHI and Its Agency as a Behavior Booster Rather Than Manager; 4.6 Summary of Findings; 5 The Purchasing Mechanism: A Game Between Purchasers, Patients, and Doctors.
• Publisher Details: Singapore : Springer
• Publication Date: 2016
• Extent: 1 online resource
• Subjects: 362.10951; Health care reform -- China; POLITICAL SCIENCE -- Public Policy -- Social Security; POLITICAL SCIENCE -- Public Policy -- Social Services & Welfare; Health care reform; National Health Programs -- economics; Health Expenditures; Health Care Reform -- economics; China; China; Electronic books
• Languages: English
• ISBNs: 9789811017773; 9811017778
• Related ISBNs: 9789811017766; 981101776X
• Notes: Note: Includes bibliographical references and index.; Note: Online resource; title from PDF title page (EBSCO, viewed September 30, 2016).
• Access Rights: Legal Deposit; Only available on premises controlled by the deposit library and to one user at any one time; The Legal Deposit Libraries (Non-Print Works) Regulations (UK).
• Access Usage: Restricted: Printing from this resource is governed by The Legal Deposit Libraries (Non-Print Works) Regulations (UK) and UK copyright law currently in force.