Collage of the covers of three of AHPP books on the background of Encina Hall colonnade

Publications

High-quality, social science research on health policy and demographic change in the Asia-Pacific region

AHPP runs its own working paper series and regularly contributes edited volumes that are distributed through the Walter H. Shorenstein Asia-Pacific Research Center’s publishing program. Our faculty and researchers also publish extensively in peer-reviewed academic journals and in scholarly and trade presses. Browse our publications below.

Publication Spotlight

A special issue of The Journal of the Economics of Ageing, originated from AHPP’s tenth anniversary conference and co-edited by Director Karen Eggleston, explores new approaches to financing the many needs that come with longer lives, lower fertility, and older population age structures.

AHPP Working Paper Series

The AHPP working paper series is open to scholars and health policy experts around the world. We publish multiple papers each year and disseminate them to a broad international audience through the AHPP website and network and in collaboration with the Social Science Research Network.

Publications

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    Journal Article

    Karen Eggleston,
    Milken Institute Review, 2019

    In the 2019 fourth-quarter edition of the Milken Institute Review, AHPP director Karen Eggleston looks at China's healthcare system, exploring the inequalities that have opened up between rural and urban healthcare, and discussing what needs to be done to ensure that the system remains sustainable in the face of increasing aging and slower economic growth.

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    Journal Article

    Daejung Kim, Cynthia Chen, Bryan Tysinger, Sungchul Park, Ming Zhe Chong, Lijia Wang, Michelle Zhao, Jian-Min Yuan, Woon-Puay Koh, Joanne Yoong, Jay Bhattacharya, Karen Eggleston
    Health Economics, 2019

    The substantial social and economic burden attributable to smoking is well‐known, with heavy smokers at higher risk of chronic disease and premature mortality than light smokers and nonsmokers. In aging societies with high rates of male smoking such as in East Asia, smoking is a leading preventable risk factor for extending lives (including work‐lives) and healthy aging.

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    Journal Article

    Karen Eggleston,
    Milken Institute Review, 2019

    In the 2019 fourth quarter edition of the Milken Institute Review, Asia Health Policy Program director Karen Eggleston discusses the progress China has made since the 2009 reforms to its healthcare, which brought basic coverage to all and reduced patients' share of costs, and explains the many challenges that remain, including increasing the system's efficiency to ensure its sustainability and addressing the disparities in healthcare that echo the "yawning gap in living standards between China's rising middle class and its poorest citizens."

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    Working Paper

    Karen Eggleston, Karen Eggleston
    Asia Health Policy Program working paper # 56, 2019

    China’s national health reforms over the past two decades have brought the system closer to the modern, safe, reliable and accessible health system that is commensurate with China’s dramatic economic growth, improvement in living standards, and high hopes for the next generation.

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    Book

    Karen Eggleston,
    2019

    In Live Long and Prosper?, a new eBook edited by David Bloom, AHPP director Karen Eggleston contributes the chapter "Understanding 'Value for Money' in Healthy Ageing," in which she advocates for and explains the concept of "net value of medical care," a metric that helps quantify the social value of spending on healthcare.

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    Journal Article

    Hai Fang, Karen Eggleston, Kara Hanson, Ming Wu
    BMJ, 2019
    China started comprehensive health system reforms in 2009. An important goal of China’s health system reforms was to achieve universal health coverage through building a social health insurance system. Universal health coverage means that all individuals and communities should get the quality health services they need without incurring financial hardship.
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    Journal Article

    Anita Mukherjee, Karen Eggleston
    The Journal of the Economics of Ageing, 2019

    This special issue of The Journal of the Economics of Ageing, edited by Anita Mukherjee and APARC's Asia Health Policy Program Director Karen Eggleston, focuses on a key challenge around the world: financing the many needs that come with longer lives, lower fertility, and older population age structures. The triumph of longevity can pose a challenge to the fiscal integrity of public and private pension systems and other social support programs disproportionately used by older adults.

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    Journal Article

    Kavita Singh, K.M. Venkat Narayan, Karen Eggleston
    Current Diabetes Reports, 2019

    With an estimated 84 million people suffering from diabetes in South Asia, the disease imposes substantial economic burdens on individuals, families, and society. Furthermore, since the disease burden increasingly occurs in the most productive midlife period, it adversely affects workforce productivity and macroeconomic development. Diabetes-related complications lead to markedly higher treatment costs, causing catastrophic medical spending for many households, thus underscoring the importance of preventing diabetes-related complications.

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    Working Paper

    Megumi Kasajima, Hideki Hashimoto, Sze-Chuan Suen, Brian Chen, Karen Eggleston, Jay Bhattacharya
    Asia Health Policy Program working paper # 55, 2019

    Background: Precise future projection of population health distribution is imperative for designing an efficient healthcare system in rapidly aging countries. Multistate-transition microsimulation models such as the US Future Elderly Model have been developed based on panel data collection, but these data may not be always available. We proposed a pseudopanel method using repeated cross-sectional representative surveys as a complementary approach, and specifically applied the model to Japan's population.

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    Working Paper

    Marjorie Pajaron
    Asia Health Policy Program working paper # 51, 2019

    The growing literature on environmental migration presents conflicting results. While some find that natural disasters induce international migration, others discover a dampening effect. We aim to reconcile these differences by using a comprehensive list of weather shocks from the Philippines, a country prone to natural disasters and a major exporter of labor. We constructed a longitudinal provincial dataset (2005–2015) from an assemblage of administrative and survey datasets and tested linear, quadratic, and lagged models.

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    Working Paper

    Marjorie Pajaron
    Asia Health Policy Program working paper # 52, 2019

    Risky health behaviors such as illicit drug use, smoking, overconsumption of alcohol, violence, and early sexual activity have contemporaneous and intertemporal adverse health and economic outcomes. The health-related and economic costs to individuals and to society overall are particularly pronounced when adolescents are the ones engaging in one or more of such behaviors.

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    Working Paper

    Marjorie Pajaron
    Asia Health Policy Program working paper # 53, 2019

    This paper shows that, for mothers in Cebu, Philippines, access to electricity and the type of cooking fuel used at home affect both health outcomes and also how time is allocated, including for paid work. First, the use of fuelwood for cooking adversely affects the health of mothers, who are traditionally responsible for cooking and are often at home, taking care of their families. This result is consistent across different econometric specifications.

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    Working Paper

    Marjorie Pajaron
    Asia Health Policy Program working paper # 54, 2019

    Cardiovascular diseases (CVDs), which are disorders of the heart and blood vessels, are the world’s leading cause of death (WHO, 2016). The transition from infectious diseases to non-communicable diseases (NCDs), primarily CVDs, as the primary cause of mortality and morbidity worldwide— combined with the economic burden associated with heart-related diseases—prompted the World Health Organization (WHO) and its regional offices to identify CVDs’ risk factors (WHO, 2016).

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    Journal Article

    Xi Chen, Karen Eggleston, Ang Sun
    The Journal of the Economics of Ageing, 2018

    China launched a new rural pension scheme (NRPS) for rural residents in 2009, now covering almost all counties with over 400 million people enrolled.

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    Journal Article

    Haibin Wu, Karen Eggleston, Jieming Zhong, Ruying Hu, Chunmei Wang, Kaixu Xie, Yiwei Chen, Xiangyu Chen, Min Yu
    BMJ Open, 2018
    Objective To evaluate type 2 diabetes mellitus (T2DM)-related direct medical costs by complication type and complication number, and to assess the impacts of complications as well as socioeconomic factors on direct medical costs.
     
    Design A cross-sectional study using data from the region’s diabetes management system, social security system and death registry system, 2015.
     
    Setting Tongxiang, China.
     
    Participants Individuals diagnosed with T2DM in the local dia
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    Journal Article

    Haibin Wu, Karen Eggleston, Jieming Zhong, Ruying Hu, Chunmei Wang, Kaixu Xie , Yiwei Chen, Xiangyu Chen, Min Yu
    Journal of Diabetes Investigation, 2018
    Aims/Introduction
    To evaluate the annual direct medical cost attributable to type 2 diabetes mellitus according to socioeconomic factors, medical conditions and complications categories.
     
    Materials and Methods
    We created uniquely detailed data from merging datasets of the local diabetes management system and the social security system in Tongxiang, China.
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    Book

    Matthew Kohrman, Gan Quan, Liu Wennan, Robert Proctor
    2018
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    Working Paper

    Jui-fen Rachel Lu, Karen Eggleston
    Asia Health Policy Program working paper # 48, 2018

    High costs of precision medicine raise concerns about exacerbating income-related disparities in healthcare utilization and health outcomes. One approach to expanding coverage in Asia has been to cover the precision therapy but require the pharmaceutical firm to cover the costs of the companion diagnostic test. Taiwan’s National Health Insurance (NHI) adopted this approach for lung cancer, colorectal cancer and leukemia, but not for the first target therapy covered by NHI, trastuzumab for the treatment of HER2-positive breast cancer.

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    Working Paper

    Ngan Do, Young Kyung Do
    Asia Health Policy Program working paper # 49, 2018

    Although many public hospital physicians in Vietnam offer private service on the side, little is known about the magnitude and nature of the phenomenon of so-called dual practice, let alone the dynamics between the public and private health sectors. This study investigates how and to what degree public hospital physicians engage in private practice. It also examines the commitment of dual practitioners to the public sector. The analysis is based on a hospital-based survey of 483 physicians at 10 public hospitals in four provinces of Vietnam.

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    Working Paper

    Margaret Triyana, Xing Xia
    Asia Health Policy Program working paper # 50, 2018

    We analyze the effects of early-life shocks with varying degrees of severity on mortality and human capital outcomes in the Philippines. We exploit variations in typhoon exposure and the introduction of a short-term post-disaster relief policy. Severe
    typhoons are associated with increased mortality and adverse long-term outcomes. Before the disaster relief policy, mortality from in utero exposure to severe typhoons was 10 percent, and survivors exhibited similar levels of human capital as the unaffected.

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    Working Paper

    M.R. Narayana
    Asia Health Policy Program working paper # 47, 2018
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    Journal Article

    Jianchao Quan, Huyang Zhang, Deanette Pang, Brian K. Chen, Janice M. Johnston, Weiyan Jian, Zheng Yi Lau, Toshiaki Iizuka, Gabriel M. Leung, Hai Fang, Kelvin B. Tan, Karen Eggleston
    Health Affairs, 2018

    Improving the quality of primary care may reduce avoidable hospital admissions. Avoidable admissions for conditions such as diabetes are used as a quality metric in the Health Care Quality Indicators of the Organization for Economic Cooperation and Development (OECD). Using the OECD indicators, we compared avoidable admission rates and spending for diabetes-related complications in Japan, Singapore, Hong Kong, and rural and peri-urban Beijing, China, in the period 2008–14.

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    Working Paper

    Darika Saingam
    Asia Health Policy Program working paper # 45, 2018

    Abstract
    Substance abuse has been an important social and public health problem in Thailand for decades. The National Household Survey on Substance and Alcohol Use in Thailand, which has been conducted six times, shows that substance abuse has steadily increased.

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    Working Paper

    Junfang Xu, Jian Wang, Madeleine King, Ruiyun Liu, Fenghua Yu, Jinshui Xing, Lei Su, Mingshan Lu
    Asia Health Policy Program working paper # 46, 2018
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    Working Paper

    Ang Sun, Chuanchuan Zhang, Xiangting Hu
    Asia Health Policy Program working paper # 44, 2017
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    Pages