Health policy
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Karen Eggleston
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Stanford University's Walter H. Shorenstein Asia-Pacific Research Center is pleased to announce the establishment of a postdoctoral fellowship in comparative health policy for the 2008-09 academic year. The fellowship will support a junior scholar who will conduct research and writing on contemporary health or healthcare in two or more countries of the Asia-Pacific. We welcome applications from scholars from a variety of disciplines, such as sociology, political science, economics, anthropology, public policy, law, health services research and related fields.
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This article focuses on the healthcare system reforms in the countries of Central and Eastern Europe (CEE) over the past decade. The first section provides an overview of healthcare financing, social insurance frameworks, and the public/private mix in service delivery. The second section discusses four reform challenges in CEE that are perhaps also relevant for China:

  1. subsidizing the supply side or demand side (that is, a national health service Beveridge model vs. Bismarckian social insurance);
  2. establishing a single payer or insurance competition;
  3. confronting the legacy of soft budget constraints; and
  4. provider payment reforms.

A brief conclusion uses the lens of current health policy controversies in Hungary to highlight some of the trade-offs implicit in the complex political economy of health system reforms.

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Bijiao (Comparative Studies)
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Karen Eggleston
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Dr. Lee currently holds the Edward G. and Nancy S. Jordan Endowed Chair in Economics and is a professor in the Department of Demography at University of California - Berkeley (Berkeley). He has taught courses in economic demography, population theory, population and economic development, demographic forecasting, population aging, indirect estimation, and research design, as well as a number of pro-seminars.

Professor Lee is also the director of the Center on the Economics and Demography of Aging at Berkeley, funded by the National Institute of Aging. His current research includes including modeling and forecasting demographic time series, the evolutionary theory of life histories, population aging, Social Security, and intergenerational transfers.

He has received several honors, including Presidency of the Population Association of America, the Mindel C. Sheps Award for research in mathematical demography, the PAA Irene B. Taeuber Award for outstanding contributions in the field of demography. He is an elected member of the National Academy of Sciences, the American Association for the Advancement of Science, the American Academy of Arts and Sciences, and a Corresponding member of the British Academy. He has chaired the population and social science study section for NIH and the National Academy of Sciences Committee on Population, and served on the National Advisory Committee on Aging (NIA Council).

Professor Lee holds an MA in demography from the University of California, Berkeley, and a PhD in economics from Harvard University.

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Ronald Lee Director of the Center on the Economics and Demography of Aging Speaker University of California - Berkeley
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Payment incentives have significant consequences for the equity and efficiency of a health care system, and have recently come to the fore in health policy reforms. This paper first discusses the economic rationale for apparent international convergence toward payment systems with mixed demand and supply-side cost sharing. We then summarize the recent payment reforms undertaken in Taiwan, Korea and China. Available evidence clearly indicates that incentives matter, and that supply-side cost sharing in particular can improve efficiency without undermining equity. Further study and monitoring of quality and selection is warranted.

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Applied Health Economics and Health Policy
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Karen Eggleston
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