APARC - AHPP Publications

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.

Book cover showing a robotic hand holding an older human hand.

Publication Spotlight

A new volume, 'Demographics and Innovation in the Asia-Pacific,' co-edited by Karen Eggleston, examines how innovation interacts with two major forces: population aging and the economic and geopolitical re-emergence of Asia.

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

Health, Psychosocial, and Economic Impacts of the COVID-19 Pandemic on People With Chronic Conditions in India

Kavita (Singh), Dimple Kondal, Sailesh Mohan, Suganthi Jaganathan, Mohan Deepa, Nikhil Srinivasapura Venkateshmurthy, Prashant Jarhyan, Ranjit Mohan Anjana, K. M. Venkat Narayan, Viswanathan Mohan, Nikhil Tandon, Mohammed K. Ali, Dorairaj Prabhakaran, Karen Eggleston
BMC Public Health , 2021
A Mixed Methods Study
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Working Paper

A quarter century of ‘The Proper Scope of Government’: Theory and Applications

Oliver Hart
Asia Health Policy Program working paper # 64 , 2021

A quarter century ago in a seminal paper, Hart, Shleifer and Vishny (NBER1996, QJE1997) developed a theory of the ‘Proper Scope of Government.’ Oliver Hart, 2016 Nobel Laureate, reflects on that framework and its place in economics, as well as the inspiration for his more recent work on norms, guiding principles, and contracts as reference points.

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Book

The Dragon, the Eagle, and the Private Sector

Karen Eggleston, John D. Donahue, Richard J. Zeckhauser
2021
Public-Private Collaboration in China and the United States
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Working Paper

The Effects of Chronic Disease Management in Primary Health Care: Evidence from Rural China

Hui Ding, Yiwei Chen, Min Yu, Jieming Zhong, Ruying Hu, Xiangyu Chen, Chunmei Wang, Kaixu Xie, Karen Eggleston
Asia Health Policy Program working paper # 62 , 2021

Health systems globally face increasing morbidity and mortality from chronic diseases, yet many - especially in low- and middle-income countries - lack strong chronic disease management in primary health care (PHC). We provide evidence on China’s efforts to promote PHC management using unique five-year panel data in a rural county, including health care utilization from medical claims and health outcomes from biomarkers.

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Working Paper

Robots and Labor in the Service Sector: Evidence from Nursing Homes

Karen Eggleston, Yong Suk Lee, Toshiaki Iizuka
Asia Health Policy Program working paper # 63 , 2021

In one of the first studies of service sector robotics using establishment-level data, we study the impact of robots on staffing in Japanese nursing homes, using geographic variation in robot subsidies as an instrumental variable. We find that robot adoption increases employment by augmenting the number of care workers and nurses on flexible employment contracts, and decreases difficulty in staff retention. Robot adoption also reduces the monthly wages of regular nurses, consistent with reduced burden of care.

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Journal Article

False Alarm? Estimating the Marginal Value of Health Signals

Brian Chen, Karen Eggleston, Toshiaki Iizuka, Katsuhiko Nishiyama
Journal of Public Economics , 2021
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Working Paper

Health, Psychosocial, and Economic Impacts of the COVID-19 Pandemic on People with Chronic Condition in India: A Mixed Methods Study

Kavita (Singh), Dimple Kondal, Sailesh Mohan, Suganthi Jaganathan, Deepa Mohan, Nikhil Srinivasapura Venkateshmurthy, Prashant Jarhyan, Anjana Ranjit Mohan, KM Venkat Narayan, Viswanathan Mohan, Nikhil Tandon, Mohammed K Ali, Dorairaj Prabhakaran, Karen Eggleston
Asia Health Policy Program working paper # 61 , 2021

Background. People with chronic conditions are disproportionately prone to be affected by the COVID-19 pandemic but there are limited data documenting this. We aimed to assess the health, psychosocial and economic impacts of the COVID-19 pandemic on people with chronic conditions in India.

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Working Paper

The Effects of India’s COVID-19 Lockdown on Critical Non-COVID Health Care and Outcomes

Radhika Jain, Pascaline Dupas
Asia Health Policy Program working paper # 60 , 2020

India’s COVID-19 lockdown is widely believed to have disrupted critical health services, but its effect on non-COVID health outcomes is largely unknown. Comparing mortality trends among dialysis patients in the eight months around the lockdown with the previous year, we document a 64% increase in mortality between March and May 2020 and an estimated 22-25% total excess mortality through July 2020. The mortality increase is greater among females and disadvantaged groups.

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Journal Article

Future Projection of the Health and Functional Status of Older People in Japan: A Multistate Transition Microsimulation Model with Repeated Cross‐sectional Data

Megumi Kasajima, Hideki Hashimoto, Sze‐Chuan Suen, Brian Chen, Hawre Jalal, Karen Eggleston, Jay Bhattacharya
Health Economics , 2020

Accurate future projections of population health are imperative to plan for the future healthcare needs of a rapidly aging population. Multistate‐transition microsimulation models, such as the U.S. Future Elderly Model, address this need but require high‐quality panel data for calibration. We develop an alternative method that relaxes this data requirement, using repeated cross‐sectional representative surveys to estimate multistate‐transition contingency tables applied to Japan's population.

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Working Paper

Intended and Unintended Consequences of a New Limit on Working Hours in South Korea: Implications for Precarious Employment

Sungchul Park, Hansoo Ko
Asia Health Policy Program working paper # 59 , 2020

Effective as of July 1, 2018, South Korea set a new cap on employees’ weekly working hours, decreasing the maximum number from 68 to 52. In this study, we comprehensively analyze the effectiveness of the law’s implementation by observing changes in work time, health status, health care utilization, health behavior, monthly expenses, and satisfaction between pre- and post-implementation periods (2014–2017 vs. 2019). We find evidence of both intended and unintended consequences—and, in this last category, some are beneficial and some not.

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Working Paper

COVID-19 Incidence and the Timing of Quarantine Measures and Travel Restrictions: A Cross-country Analysis

Marjorie Pajaron
Asia Health Policy Program working paper # 58 , 2020

COVID-19 presents humanity with not just a health crisis but also a governance crisis as leaders around the globe confront the challenges of stemming the spread of the virus. Various governments have responded in various ways to slow the transmission of the virus. Ideally, the leaders of a country should approach the crisis with a two-pronged attack. The first is to flatten the epidemic curve (epi curve), which is simply a graphical representation of the number of cases and date of onset of the illness, and the second is to raise or strengthen the capacity of the health system. 

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Book

Healthy Aging in Asia

Karen Eggleston
2020
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.
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Working Paper

Intention to Pay for HPV Vaccination among Women of Childbearing Age in Vietnam

Xuan Thi Thanh Le, Phuong Thi Ngoc Nguyen, Toan Thi Thanh Do, Thang Huu Nguyen, Huong Thi Le, Cuong Tat Nguyen, Giang Hai Ha, Chi Linh Hoang, Bach Xuan Tran, Carl A. Latkin, Roger C.M. Ho, Cyrus S.H. Ho
Asia Health Policy Program working paper # 57 , 2020

The intention to pay for human papillomavirus (HPV) vaccination among women of childbearing age in Vietnam, where cervical cancer remains a significant public health concern, has been mostly lacking. To examine this issue, we conducted a cross-sectional study of 807 pregnant women in an urban and a rural district (Dong Da and Ba Vi) of Hanoi, Vietnam. The vast percentage of our respondents expressed a firm intention to vaccinate, especially women in rural areas (over 90.0%).

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Journal Article

Smoking, Life Expectancy, and Chronic Disease in South Korea, Singapore, and the United States: A Microsimulation Model

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

Healing One-Fifth of Humanity: Progress and Challenges for China's Health System

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

Healing One-fifth of Humanity: Progress and Challenges for China’s Health System

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

Understanding "Value for Money" in Healthy Ageing (chapter in ebook)

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

Enhancing Financial Protection under China’s Social Health Insurance to Achieve Universal Health Coverage

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

Financing Longevity: The Economics of Pensions, Health and Long-term Care Insurance

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

Economic Impact of Diabetes in South Asia: the Magnitude of the Problem

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

How Individuals’ Birth Weight and Later Risk Factors Interact to Determine Their Risk of Cardiovascular Disease: A Longitudinal Study in the Philippines

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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Working Paper

Future Projection of the Health and Functional Status of Older People in Japan: A Pseudopanel Microsimulation Model*

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

Weathering the Storm: Weather Shocks and International Migrants from the Philippines

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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