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.

Cover of the book Healthy Aging in Asia

Publication Spotlight

A new volume, 'Healthy Aging in Asia,' edited by Karen Eggleston, examines multiple aspects of policy initiatives for healthy longevity and economic research on chronic disease control in diverse health systems across 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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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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Journal Article

Maigeng Zhou, Shiwei Liu, M. Kate Bundorf, Karen Eggleston, Sen Zhou
Health Affairs, 2017

Health insurance holds the promise of improving population health and survival and protecting people from catastrophic health spending. Yet evidence from lower- and middle-income countries on the impact of health insurance is limited. We investigated whether insurance expansion reduced adult mortality in rural China, taking advantage of differences across Chinese counties in the timing of the introduction of the New Cooperative Medical Scheme (NCMS).

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Working Paper

Hokuto Asano
Asia Health Policy Program working paper # 43, 2017
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Book

Karen Eggleston, Jean C. Oi, Wang Yiming
Shorenstein Asia-Pacific Research Center, distributed by Brookings Institution Press, 2017

The same institutions that enabled China’s massive urbanization and spurred its economic growth now require further reform and innovation.

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Journal Article

Qiulin Chen , Karen Eggleston, Wei Zhang, Jiaying Zhao
The China Quarterly, 2017

It has been well established that better educated individuals enjoy better health and longevity. In theory, the educational gradients in health could be flattening if diminishing returns to improved average education levels and the influence of earlier population health interventions outweigh the gradient-steepening effects of new medical and health technologies. This paper documents how the gradients are evolving in China, a rapidly developing country, about which little is known on this topic.

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Working Paper

Nobuko Nagase
Asia Health Policy Program working paper # 42, 2017
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Journal Article

Brian K. Chen, Karen Eggleston, Y. Tony Yang
World Medical & Health Policy , 2017

Expanding access through insurance expansion can increase health‐care utilization through moral hazard. Reforming provider incentives to introduce more supply‐side cost sharing is increasingly viewed as crucial for affordable, sustainable access. Using both difference‐in‐differences and segmented regression analyses on a panel of 1,466 hypertensive and diabetic patients, we empirically examine Shandong province's initial implementation of China's 2009 Essential Medications List policy. The policy reduced drug sale markups to providers but also increased drug coverage benefits for patients.

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Book

Karen Eggleston, M. Kate Bundorf, Margaret Triyana, Yan Wang, Sen Zhou
Cambridge University Press, 2017

"Health Insurance and Chronic Disease Control: Quasi-experimental Evidence from Hypertension in Rural China" is a chapter within the volume China's Healthcare System and Reform. The volume provides a comprehensive review of China’s healthcare system and policy reforms in the context of the global economy. Following a valuechain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China’s system.

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Policy Brief

Gi-Wook Shin, Michael H. Armacost, Takeo Hoshi, Karl Eikenberry, Thomas Fingar, Kathleen Stephens, Daniel C. Sneider, Donald K. Emmerson
Shorenstein Asia-Pacific Research Center, 2017

Scholars at Stanford's Shorenstein Asia-Pacific Research Center in the Freeman Spogli Institute for International Studies assess the strategic situation in East Asia to be unsettled, unstable, and drifting in ways unfavorable for American interests. These developments are worrisome to countries in the region, most of which want the United States to reduce uncertainty about American intentions by taking early and effective steps to clarify and solidify U.S. engagement. In the absence of such steps, they will seek to reduce uncertainty and protect their own interests in ways that reduce U.S.

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Working Paper

Mark R. Cullen, Michael Baiocchi, Karen Eggleston, Pooja Loftus, Victor Fuchs
Asia Health Policy Program working paper # 41, 2016

Abstract. Sex differences in mortality (SDIM) vary over time and place as a function of social, health, and medical circumstances. The magnitude of these variations, and their response to large socioeconomic changes, suggest that biological differences cannot fully account for sex differences in survival. We develop a set of empiric observations about SDIM with which any theory will have to contend.

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Working Paper

Kimberly Singer Babiarz, Karen Eggleston, Grant Miller, Qiong Zhang
Asia Health Policy Program working paper # 40, 2016

Between 1950 and 1980, China experienced the most rapid sustained increase in life expectancy in documented global history. However, no study of which we are aware has quantitatively assessed the relative importance of the various explanations proposed for these gains in survival.

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Working Paper

Mark R. Cullen, Michael Baiocchi, Karen Eggleston, Pooja Loftus, Victor Fuchs
Asia Health Policy Program working paper # 41, 2016

Sex differences in mortality (SDIM) vary over time and place as a function of social, health, and medical circumstances. The magnitude of these variations, and their response to large socioeconomic changes, suggest that biological differences cannot fully account for sex differences in survival. We develop a set of empiric observations about SDIM with which any theory will have to contend.

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Journal Article

Mark R. Cullen, Michael Baiocchi, Karen Eggleston, Pooja Loftus, Victor R. Fuchs
SSM - Population Health, 2016

Sex differences in mortality vary over time and place as a function of social, health, and medical circumstances. The magnitude of these variations, and their response to large socioeconomic changes, suggest that biological differences cannot fully account for sex differences in survival. Drawing on a wide swath of mortality data across countries and over time, we develop a set of empiric observations with which any theory about excess male mortality and its correlates will have to contend.

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Book

Karen Eggleston
Shorenstein Asia-Pacific Research Center, distributed by Brookings Institution Press, 2016

The world’s two most populous countries face numerous policy challenges from rapid demographic change. Drawing on social science expertise from China, India, and the United States, the contributors examine the social and economic challenges for policies across a range of domains, from China’s changed family planning policies and India’s efforts to address gender imbalance, to both countries’ policies regarding old-age support, human capital investment, poverty alleviation, and broader issues of governance.

Sections focus on:

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Journal Article

Matthew Kohrman
Anthropological Quarterly, 2016

In this article, I consider what a casual observer can see of a notorious product’s primary place of fabrication. Few products have been criticized in recent years more than cigarettes. Meanwhile, around the world, the factories manufacturing cigarettes rarely come under scrutiny. What have been the optics helping these key links in the cigarette supply chain to be overlooked? What has prompted such optics to be adopted and to what effect? I address these questions using a comparative approach and drawing upon new mapping techniques, fieldwork, and social theory.

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Journal Article

David E. Bloom, Karen Eggleston
The Journal of the Economics of Ageing, 2015

China and India account for nearly 36% of the world’s population. The two countries are expected to see an unprecedented, accelerated rate in elderly populations, a shift that has already begun and will continue in the years ahead as life expectancy continues to increase and fertility to decrease or remain below replacement levels. Examining demographic changes can offer a unique opportunity to enrich the theoretical and empirical understanding of the economic aspects of population ageing. This special issue of the Journal of the Economics of Ageing, coedited by David E. Bloom, the Clarence James Gamble Professor of Economics and Demography at Harvard University, and Karen Eggleston, a Center Fellow at the Shorenstein Asia-Pacific Research Center at Stanford University, is a diverse collection of micro- and macro-economic research on ageing in China and India. This introduction, co-written by Bloom and Eggleston, provides background context to demographic trends in China and India, connections between demographic and economic changes and possible behavioral and policy responses. The introduction also gives a preview of the main contributions of the 10 articles featured in the special issue, which cover topics such as the impact of non-communicable diseases in China and India, how parents’ expectations of co-residence with their children affects educational outcomes, and the prevention of cognitive decline in China.

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Journal Article

Feng Lin, Qihong Sun, Zhangping Peng, Jun Cai, Philip Geanacopoulos, Lin Li, Yun Zhao, Xin Zhang, Xiaoxiao Chen
Family Medicine and Community Health, 2015

Objective: This study focuses on Hangzhou, a Chinese city with a population of nine million urban and rural residents, to examine the successful development and innovation experience of its primary health care service system during the new health reform in China since 2009 and then disseminate the findings through international third parties.

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Journal Article

Marcella Alsan, Lena Schoemaker, Karen Eggleston, Nagamani Kammili, Prasanthi Kolli, Jay Bhattacharya
Lancet Infectious Diseases, 2015

Introduction

The decreasing effectiveness of antimicrobial agents is a growing global public health concern. Low-income and middle-income countries are vulnerable to the loss of antimicrobial efficacy because of their high burden of infectious disease and the cost of treating resistant organisms. We aimed to assess if copayments in the public sector promoted the development of antibiotic resistance by inducing patients to purchase treatment from less well regulated private providers.

Methods

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Commentary

ACON Primary Care Research Center and the Shorenstein Asia-Pacific Research Center, 2015

The conference report from the workshop, Community Health Services and Primary Health Care Reform in China, held on June 18, 2015 at the Stanford Center at Peking University. The report is written in both Chinese and English.

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Journal Article

Grant Miller, Karen Eggleston, Kim Singer Babiarz, Qiong Zhang
Population Studies (Cambridge), 2014

Between 1950 and 1980, China experienced the most rapid sustained increase in life expectancy of any population in documented global history. We know of no study that has quantitatively assessed the relative importance of the various explanations proposed for this gain in survival. We have created and analysed a new, province-level panel data set spanning the decades between 1950 and 1980 by combining historical information from China's public health archives, official provincial yearbooks, and infant and child mortality records contained in the 1988 National Survey of Fertility and Contraception. Although exploratory, our results suggest that gains in school enrolment and public health campaigns together are associated with 55–70 per cent of China's dramatic reductions in infant and under-5 mortality during our study period. These results underscore the importance of non-medical determinants of population health, and suggest that, in some circumstances, general education of the population may amplify the effectiveness of public health interventions.

Mao Mortality Analysis Data (Stata File)

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Working Paper

Hitoshi Shigeoka, Kiyohide Fushimi
Asia Health Policy Program working paper # 39, 2014

We estimate the degree of supplier-induced demand for newborn treatment by exploiting changes in reimbursement arising from the introduction of the partial prospective payment system (PPS) in Japan. Under the partial PPS, neonatal intensive care unit (NICU) utilization became relatively more profitable than other procedures, since it was excluded from prospective payments.

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Working Paper

Young Kyung Do
Asia Health Policy Program working paper # 38, 2014

June 2020 Update:
Dr. Do wins the 2020 Rothman Epidemiology Prize for this article that has been selected as the best paper published in the journal Epidemiology in 2019.
View the announcement of the editors and editorial board of Epidemiology and our news post.

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Working Paper

Brian K. Chen, Karen Eggleston
Asia Health Policy Program working paper # 37, 2013

How do demand- and supply-side incentives interact, when there are potentially large provider income effects? We develop a simple model and empirically test it with data from China’s Essential Medications List (EML) policy, which reduced patient copayments and changed provider incentives by removing a large source of revenue from primary care providers: drug dispensing revenues.

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