Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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Abstract

As many other countries, Japan is working on development of personalized and precision medicine. This paper explains Japan’s policies regarding personalized and precision medicine, including data collection, supports for its development and its insurance coverage such as its process and criteria and describes four drugs and companion diagnosis. Especially as for the insurance coverage, Japan has not examined the cost-effectiveness of personalized and precision medicine and its impact on healthcare expenditures. On the other hand, since the United Kingdom considers cost-effectiveness in considering the insurance coverage, the United Kingdom limits the use of Imatinib due to cost-effectiveness while Japan does not limit it.

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Asia Health Policy Program working paper # 43
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The 2017 Forum will feature a luncheon keynote address on “Primary Care in the Netherlands: Lessons for China” by Jeroen N. Struijs, Senior Researcher in the Department of Quality of Care and Health Economics, National Institute of Public Health and the Environment, The Netherlands. Additional prominent speakers include Dr. Huncheol Bryant Kim, Cornell University, US, speaking on health policy in South Korea; Dr. Bei Lu, University of New South Wales, Australia, speaking on China’s efforts to integrate long-term care with primary care--Experiences of Qingdao’s Long-term Care Insurance program; Dr. Xiaoyun Liu, Peking University, on China’s primary care workforce; Dr. Jiayan Huang, Fudan University, on a model of integrated care from southern China; and Dr. Qiulin Chen, China Academy of Social Sciences, speaking on “Strengthening China’s primary care: A view from Inner Mongolia.” In addition, select policymakers and providers will introduce China's overall healthcare system reforms as well as discuss challenges to strengthening primary care in China.

Stanford Center at Peking University

Jeroen N. Struijs Senior Researcher in the Department of Quality of Care and Health Economics, National Institute of Public Health and the Environment, The Netherlands
Huncheol Bryant Kim Cornell University, US
Bei Lu University of New South Wales, Australia
Xiaoyun Liu Peking University, China
Qiulin Chen China Academy of Social Sciences, China
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The "Workshop of young leaders in Asia health policy" will take place at SCPKU on June 21, 2017, just prior to the annual primary care Forum. This special event convened in honor of the Stanford Asia Health Policy Program's 10th anniversary. It will feature short research panels by a dozen young health policy experts from Cambodia, China, Indonesia, Korea, Mongolia, Myanmar, Nepal, the Philippines, Thailand, the United States, and Vietnam. The luncheon colloquium will feature comparative perspectives on the major health policy challenges facing Asia as well as specific examples of how evidence-based policymaking can improve lives throughout the Asia-Pacific region.

 

Stanford Center at Peking University

Encina Hall E301616 Serra StreetStanford, CA94305-6055
(650) 724-5321 (650) 723-6530
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darika_saingam.jpg Ph.D.

Darika Saingam joins the Walter H. Shorenstein Asia-Pacific Research Center as the Developing Asia Health Policy Postdoctoral Fellow for the 2015-16 year.  Saingam’s research interests are public health, substance abuse, drug policy and Southeast Asia. While at Shorenstein APARC, she will research the evolution of substance-abuse control measures and related policy in Thailand.  Saingam seeks to identify potentially effective policy directions suitable for Thailand, and other developing countries in Southeast and East Asia.

Saingam completed her doctorate in epidemiology at the Prince of Songkla University in 2012, and has served as a researcher at the University’s epidemiology unit since, as well as a researcher at the Thailand Substance Abuse Academic Network since 2014.

2015-16 Developing Asia Health Policy Postdoctoral Fellow
Faculty of Medicine Prince of Songkla University, Thailand
Ngoc Minh Pham Visiting research fellow at Curtin University, Australia
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2011-12 Developing Asia Health Policy Fellow
YiSiyan_Profile.jpg MD, PhD

Dr. Siyan Yi joined the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) as a 2011-12 Developing Asia Health Policy Postdoctoral Fellow from the National Center of Global Health and Medicine and the University of Tokyo, Japan, where he jointly served as a research fellow and lecturer. He also served as an adjunct faculty member at Cambodia’s School of Public Health, the National Institute of Public Health, and the School of International Studies at the Royal University of Phnom Penh. He is currently an Associate Professor and UHS-SPH Integrated Research Programme Leader at NUS Saw Swee Hock School of Public Health (profile page here).

Yi’s research has centered largely on epidemiological methods. This has included, for example, work on surveys in Cambodia on adolescent risky sexual behaviors, substance abuse, and depression; a health promotion project in primary schools; sexual behaviors among people living with HIV/AIDS; and HIV risky behaviors among tuberculosis patients. Currently, he is involved in hospital- and community-based research projects in several developing countries as well as in Japan. He has published several papers in these research areas in international journals. His selected publications include:

  • Siyan Yi, Akiko Nanri, Kalpana Poudel, Daisuke Nonaka, Hori Ai, Tetsuya Mizoue. “Association between serum ferritin and depressive symptoms in Japanese municipal employees.” Psychiatry Research, 2011. 189: 368-372.
  • Siyan Yi, Daisuke Nonaka, Marino Nomoto, Jun Kobayashi, and Tetsuya Mizoue. “Predictors of the uptake of A (H1N1) influenza vaccine: Findings from a population-based longitudinal study in Tokyo.” PLoS One, 2011. 6: e18893.
  • Siyan Yi, Krishna C. Poudel, Junko Yasuoka, Paula H. Palmer, Songky Yi, and Masamine Jimba. “Risk vs. protective factors for substance use among adolescent students in Cambodia.” Journal of Substance Use, 2011. 16:14-26.
  • Siyan Yi, Krishna C. Poudel, Junko Yasuoka, Paula H. Palmer, Songky Yi, and Masamine Jimba. “Role of risk and protective factors for risky sexual behaviors among high school students in Cambodia.” BMC Public Health, 2010. 10: 477.
  • Siyan Yi, Krishna C. Poudel, Junko Yasuoka, Masao Ichikawa, Vutha Tan, and Masamine Jimba. “Influencing factors for seeking HIV voluntary counseling and testing among tuberculosis patients in Cambodia.” AIDS Care, 2009. 21: 529-534.

Yi holds an MHSc (2007) and a PhD (2010) in international health sciences from the School of International Health at the University of Tokyo’s Graduate School of Medicine. He also earned an MD in general medicine from the University of Health Sciences, Cambodia (2001). Yi has won research awards, including: the Young Investigator Award from the Asia Pacific Academic Consortium for Public Health (2008), the Montreux Prize from the Swiss Association for Adolescent Health and the International Association for Adolescent Health (2009), and the Scientific Research Award from the University of Tokyo (2009).

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Director of KHANA Center for Population Health Research, Cambodia

Shorenstein APARC
Encina Hall E332
616 Serra Street
Stanford, CA 94305-6055

(650) 724-5710 (510) 705-2049 (650) 723-6530
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Developing Asia Health Policy Fellow
IMG_4537.jpg MD

Gendengarjaa Baigalimaa joins the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) during the 2013-2014 acedemic year as the Asia Health Policy Program Fellow. She joins APARC from the Mongolian National Cancer Center, where she serves as a Gynecological Oncologist.

During her appointment as Health Policy Fellow, she will conduct a comparative study of how knowledge of cervical cancer risk factors has influenced behavior changes in Mongolia before and after the introduction of the National Cervical Cancer Program.

Baigalimaa is the Executive Director of Mongolian Society of Gynecological Oncologists and is also a member of the International Gynecological Cancer Society (IGCS) in Mongolia, Russia, and France.

Baigalimaa holds a MD from Minsk Belarussia Medical University. She also received a Masters in Health Science from Mongolian Medical University. She is fluent in both Russian and English.

Gynecological Oncologist at ''Mungun Guur'' hospital, Mongolia

Shorenstein APARC
Encina Hall C331
616 Serra Street
Stanford, CA 94305-6055

(650) 724-5656 (650) 723-6530
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2013-2014 Asia Health Policy Postdoctoral Fellow
triyana_photo.jpg PhD

Margaret (Maggie) Triyana’s main research interests are inequality and human capital investments in developing countries. In particular, she is interested in the effects social policy changes on children’s health outcomes. As a Postdoctoral Fellow, she will analyze the effects of rural-urban migration in Indonesia and China, as well as the impact of health insurance expansion in Indonesia and Vietnam.

Triyana received a PhD in Public Policy from the University of Chicago in 2013.

 

Working Papers

“Do Health Care Providers Respond to Demand-Side Incentives? Evidence from Indonesia“

“The Effects of Community and Household Interventions on Birth Outcomes: Evidence from Indonesia”

“The Longer Term Effects of the ‘Midwife in the Village’ Program in Indonesia”

“The Sources of Wage Growth in a Developing Country” (with Ioana Marinescu)

2016-17 Kellogg visiting fellow; Assistant Professor of Economics at Nanyang Technological University, Singapore

Walter H. Shorenstein
Asia-Pacific Research Center
616 Serra St C333
Stanford University
Stanford, CA 94305-6055

(650) 724-6459 (650) 723-6530
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Asia Health Policy Postdoctoral Fellow in Developing Asia
PajaronMarjorie_WEB.jpg

Marjorie Pajaron joins the Walter H. Shorenstein Asia-Pacific Research Center during the 2012–13 academic year from the University of Hawai’i at Manoa Department of Economics where she served as a lecturer.

She took part for five years in the National Transfer Accounts project based in Honolulu. Her research focuses on the role of migrant remittances as a risk-coping mechanism, as well as the importance of bargaining power in the intra-household allocation of remittances in the Philippines.

Pajaron received a PhD in economics from the University of Hawai’i at Manoa.

Working Papers:

 “Remittances, Informal Loans, and Assets as Risk-Coping Mechanisms: Evidence from Agricultural Households in Rural Philippines.” October 2012. Revise and Resubmit, Journal of Development Economics.

“The Roles of Gender and Education on the Intra-household Allocations of Remittances of Filipino Migrant Workers.” June 2012.

“Are Motivations to Remit Altruism, Exchange, or Insurance? Evidence from the Philippines.” December 2011.

Assistant Professor at the School of Economics, University of the Philippines, Diliman

Walter H. Shorenstein
Asia-Pacific Research Center
616 Serra St C335
Stanford University
Stanford, CA 94305-6055

(650) 724-5668 (650) 723-6530
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2011-12 Asia Health Policy Fellow
SunAng_Profile.jpg MA, PhD

Ang Sun joins the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) from Brown University’s department of economics where she recently received her PhD.

Sun’s research interests encompass development economics, labor and demographic economics, and health economics. She focuses on intra-household allocations, gender differences, and household formation. In particular, she studies how a combination of different forces in China—including traditional values, rapid growth, and the population structure—is affecting Chinese families. During her time at Shorenstein APARC, Sun will participate in an interdisciplinary study of the impact of the aging process in Asia on economic growth.

Sun holds a PhD and an MA in economics from Brown University, and an MA from the China Center of Economic Research. She also received a BA in economics and a BS in information and computer science from Beijing University.

Central University of Finance and Economics, Beijing, China

Shorenstein APARC
Stanford University
Encina Hall, Room C335
Stanford, CA 94305-6055

(650) 736-0771 (650) 723-6530
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2011 Shorenstein-Spolgi Fellow in Comparative Health Policy
Qiulin_Chen3x4.jpg MA, PhD

Qiulin Chen is a postdoctoral fellow of Shorenstein APARC and a member of the center's Asia Health Policy Program. His main interest of research is health economics and public finance, focusing on policy and outcome comparison of health care systems and Chinese health reform. His dissertation focused on performance comparison between public (or governmental) and private health care financing, between local and central government responsibility on health care, between contracted and integrated health care system. In particular, his dissertation examined under Chinese-style decentralization, known as fiscal decentralization with political centralization, how economic competition affect local government's behaviour on health investment, and why public contracted system obstructs health performance and provides one channel of such effects in terms of preventive care and public health. He is currently involved in a comparative research project on demographic change in East Asia based on the National Transfer Accounts data and analysis.

Chen's recent publication is "The changing pattern of China's public services" (with Ling Li and Yu Jiang) in Population Aging and the Generational Economy: A Global Perspective (Ronald Lee and Andrew Mason, editors), forthcoming 2011. Before studying in Stanford, he has published more than 10 papers in academic journals in Chinese, such as Jing Ji Yan Jiu (Economic Research) and Zhong Guo Wei Sheng Jing Ji (Chinese Health Economics), and 5 book chapters. He has participated in about 20 research projects, such as A Design of Framework for Healthcare Reform in China which is commissioned by the State Council Working Party on Health Reform, Strategy Planning Study of "Healthy China 2020" which is commissioned by the Minister of Health, and Health Challenge in the Aging Society and It's Policy Implication funded by Chinese National Natural Science Foundation.

Chen earned his Ph.D. in Economics from Peking University in 2010, and earned a B.A. in Business Administration from Nanjing University in 2001. From 2004 through 2008, he was Executive Assistant of the Director of the China Centre for Economic Research at Peking University (CCER). He is also a postdoctoral fellow of National School of Development at Peking University (Its predecessor is CCER).

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China Academy of Social Sciences, China
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Postdoctoral Fellow in Asia Health Policy Program, 2008-09
Do.JPG MD, PhD

Young Kyung Do is the inaugural Postdoctoral Fellow in the Asia Health Policy Program at the Walter H. Shorenstein Asia-Pacific Research Center. He completed his Ph.D. in health policy and administration at the University of North Carolina at Chapel Hill School of Public Health in August 2008. He has also earned M.D. and Master of Public Health degrees from Seoul National University (in 1997 and 2003, respectively). He earned board certification in preventive medicine from the Korean Medical Association in 2004. His research interests include population aging and health care, comparative health policy, health and development, quality of care, program evaluation, and quantitative methods in health research.

He received the First Prize Award in the Graduate Student Paper Competition in the Korea Labor and Income Panel Study Conference in 2007. He also is the recipient of the Harry T. Phillips Award for Outstanding Teaching by a Doctoral Student from the UNC Department of Health Policy and Administration in 2007. In May 2008, he was selected as a New Investigator in Global Health by the Global Health Council.

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Associate Professor in the Department of Health Policy and Management at Seoul National University College of Medicine, Seoul, South Korea
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Emily Tuong-Vi Nguyen, a Stanford student studying human biology, writes about the Asia Health Policy Program’s international conference on diabetes

The Asia Health Policy Program at the Shorenstein Asia-Pacific Research Center hosted the Net Value in Diabetes Management Workshop in March to discuss progress on an international research collaboration. Research teams from Hong Kong, Singapore, China, Taiwan, South Korea and the United States convened at the Stanford Center at Peking University (SCPKU) in Beijing to work on research that compares utilization and spending patterns on diabetes across different countries and to develop a method for measuring the net value of diabetes internationally, based on previous methods discussed in a Eggleston and Newhouse et al. 2009 study with Mayo Clinic Data for Type 2 diabetes.

The research teams from various Asian countries are attempting to calculate the net value of diabetes in those countries by observing the changes in diabetes value and spending. These calculations include monetizing the value of health benefits of new treatments and improvements in health, as well as avoided spending on treatments when prevention was effective, and associated mortality and probability of survival. Previous models used to measure diabetic values and risks, such as the United Kingdom Prospective Diabetes Study (UKPDS) risk engine that was created from U.K. data and populations, are not very relevant for Asian populations. The goal is to create separate risk models specifically suited for populations from Hong Kong, Singapore, China, Taiwan and South Korea.

During the workshop that spanned two days, the research teams had an opportunity to share updates on their individual projects and to discuss methods and ideas for future collaboration.

On the first day, each research team presented its work, describing data sets and explaining the risk models that were used or developed. Karen Eggleston, director of the Asia Health Policy Program, delivered introductory remarks and shared current progress by the Japan and Netherlands research teams on calculating value and risk for diabetes with data from the Netherlands and Japan. The data sets from those two countries were best estimated by the JJ Risk Engine for the Japan data and the UKPDS model for the Netherlands data.

Chao Quan of the University of Hong Kong presented the risk model used for Hong Kong populations. His work primarily looked at how the UKPDS risk engine predicted risk in Hong Kong populations as compared to a local Hong Kong risk engine and how to best calibrate the Hong Kong risk engine. His next step will be to monetize the value for improved survival in diabetes in Hong Kong. He offered to re-estimate the model using the risk factors available on others’ datasets so that the Hong Kong risk model could potentially be used by other teams as well.

Stefan Ma and Zheng Li Yau of the Ministry of Health of Singapore discussed the 5-year prediction model and statistical methods they used for all-cause mortality of Singaporean individuals with diabetes. Their work is based on Singapore’s extensive administrative and claims data as well as data provided by the national health surveys conducted every six years by the National Health Service of Singapore. The researchers plan to look into how their overall risk model compares with models for specific subpopulations, such as Chinese, Malay and Indian populations in Singapore.

Katherine Hastings from the Stanford University team, led by principal investigator Latha Palaniappan, presented preliminary ideas about measuring cardiovascular risk with the Atherosclerotic Cardiovascular Disease Risk Score in analyses of Stanford health system diabetic patients. The researchers are collaborating with a clinical bioinformatics team at Stanford to use machine learning to expedite the analysis.

Min Yu and Haibin Wu of the Zhejiang Center for Disease Control and Prevention shared results from their analysis of health data collected from community health centers for diabetes management, diabetes surveillance data, cause of death data and insurance claims data that showed relationships between different patient characteristics and insurance types. The researchers then estimated the annual cost of Type 2 diabetes and its complications in Tongxiang province, China.

Hai Fang and Huyang Zhang of Peking University worked with claims data of diabetic patients insured by the New Cooperative Medical Scheme in Beijing, and at the workshop, shared regression analyses on the relationship between outpatient visits and inpatient admissions.

Jianqun Dong of the People’s Republic of China Center for Disease Control and Prevention presented ongoing research about diabetes management in China, including preliminary results of a randomized control trial of diabetes self-management strategies.

Wankyo Chung of Seoul National University shared preliminary estimates of a risk model for mortality among diabetic patients in South Korea and discussed next steps for estimating net value of diabetes management using the detailed clinical and claims data available in South Korea.

On the second day, the workshop concluded with a videoconference between workshop participants in Beijing and collaborators at Stanford Graduate Business School, including Stanford professor Latha Palaniappan and Harvard visiting professor Joseph P. Newhouse, using the Highly Immersive Classroom.

The workshop was a good opportunity for the research teams to discuss preliminary models, to offer each other suggestions regarding research methods, and to discuss the future direction of the international collaboration on the net value of diabetes. All research teams are preparing comparative research papers that will be included in the working paper series of the Asia Health Policy Program. A follow-up event will be held at Stanford in November 2017 in recognition of World Diabetes Day.

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diabetes conference beijing
A group of participants from the workshop, “Net Value in Diabetes Management,” at Stanford Center at Peking University, March 24, 2017, from left to right: Zheng Yi Lau from the Ministry of Health of Singapore; Chao Quan (University of Hong Kong); Jui-fen Rachel Lu (Chang Gung University); Emily Nguyen, Karen Eggleston, and Katie Hastings (Stanford); and Stefan Ma (Ministry of Health of Singapore).
Courtesy of Emily Tuong-Vi Nyugen
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ABSTRACT

Low fertility is a major policy focus in Japan. Many policies, such as an increase in replacement allowances during parental leave, were rolled out during the 1990s and early 2000s with little evidence that they had any effect on fertility or labor supply. This study assesses the impact of policies designed to promote a family-friendly work culture on childbirth and labor supply from the mid-2000s on. The causal effects are identified by investigating two reform policies targeted at two different sizes of firms. The paper contributes to the literature on laws that impact organizational culture in a society where both gender and organizational norms are strong. The short-hour option in Japan significantly increased childbirth among working women who had been childless. The intent to give birth also increased among childless women at the treated firms, and there was an increased likelihood of women taking up permanent employment at reduced hours following their first childbirth. The policy effect was not significant for second or third births.

Key words: short-hour option mandate, childbirth hazard, labor supply following childbirth

 

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Asia Health Policy Program working paper # 42
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Vietnam has adopted a public-private mixed health service delivery system for 30 years to mobilize more resources for the health sector. Public hospital physicians are allowed to practice for the private sector outside official working hours; therefore, physician dual practice is very common. This paper investigates the characteristics and dynamics of the phenomenon, focusing on the choices of physicians about whether to engage in dual practice, as well as their performance in their public practice. The analysis is based on a survey at 10 public hospitals in Vietnam with 510 physicians. Half of public hospital physicians reported participating in at least one type of private practice. Personal characteristics (gender, age, position), private practice income, and clinical autonomy are the reasons for dual practice involvement. Dual practitioners spend more time overall in clinical practice than their non-dual-practice counterparts, but reduce the time for public practice to have more time for private practice. They are also more likely to refer public patients to private practice. Nevertheless physicians appear to still be committed to the public sector to enlarge their professional networking, participate in training opportunities, and fulfill their sense of public responsibility.

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Ngan Do is currently a postdoctoral fellow at the Walter H. Shorenstein Asia-Pacific Research Center, Stanford University. Prior to that, she worked as a Health Leadership Development Initiative fellow at the World Health Organization Western Pacific Regional Office. Her research focuses on comparative healthcare systems and health reforms in Asia; payment incentives; physicians’ behaviors, human resources for health, and the public-private partnership in the health sector. She experienced field-work in Cambodia, Lao PDR, Philippines, Korea, and Vietnam. Ngan achieved her Ph.D. degree in health policy and management at Seoul National University College of Medicine. She earned her master degree on public policy at the KDI School of Public Policy and Management, and her bachelor degree on international relations at the Diplomacy Academy of Vietnam.

 

Ngan Do Kim 2016-2017 Developing Asia Health Policy Postdoctoral Fellow 2016-2017 Developing Asia Health Policy Postdoctoral Fellow
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The Asia Health Policy Program at Stanford’s Shorenstein Asia-Pacific Research Center (APARC), in collaboration with scholars from Stanford Health Policy's Center on Demography and Economics of Health and Aging, the Stanford Institute for Economic Policy Research, and the Next World Program, is holding its third annual conference on the economics of ageing. The conference is one of several activities planned in 2017 to mark the 10th anniversary of the Asia Health Policy Program.

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. High-income countries offer lessons – frequently cautionary tales – for low- and middle-income countries about how to design social protection programs to be sustainable in the face of population ageing. Technological change and income inequality interact with population ageing to threaten the sustainability and perceived fairness of conventional financing for many social programs. Promoting longer working lives and savings for retirement are obvious policy priorities; but in many cases the fiscal challenges are even more acute for other social programs, such as insurance systems for medical care, long-term care, and disability. Reform of entitlement programs is also often politically difficult, further highlighting how important it is for developing countries putting in place comprehensive social security systems to take account of the macroeconomic implications of population ageing.

The objective of the conference is to explore the economics of ageing from the perspective of sustainable financing for longer lives. The conference will bring together researchers to present recent empirical and theoretical research on a range of topics in this area.

The first full day of the conference – April 24 – is open to the public. The lunchtime keynote speech on the second day of the conference – April 25 – is also open to the public; the remaining portions of that day are reserved for panelists only to encourage candid conversation in a closed-door setting.

Conference Agenda

April 24

7:45                             Breakfast

8:25                             Welcome         Gi-Wook Shin, Stanford University

                                                           Karen Eggleston, Stanford University

 

Session I: Long-term Care and Intergenerational Support

Chair: Gopi Shah Goda, Stanford University

8:30 – 9:30                   “Housing Assets and Access to Long Term Care Services and Supports: Evidence from the Housing Bubble Burst”

                                                            Richard Frank, Harvard University

                                                            Discussant: Tom Davidoff, University of British Columbia

9:30 – 10:30               “The Demand for Long-Term Care Insurance in Canada”

                                                            Pierre-Carl Michaud, HEC Montréal and RAND

                                                            Discussant: Chris Tonetti, Stanford Graduate School of Business

10:30 – 10:45              Coffee break

10:45 – 11:45             “The Price of the East Asian Miracle: Generational Cultural Shift and Elderly Suicide”

                                                            Hyejin Ku, University College London

                                                            Discussant: Hongbin Li, Tsinghua University and Stanford University

Session II:

Co-Chairs: John Shoven and Karen Eggleston, Stanford University

11:45 – 13:45              Lunch

Keynote panel: "The policy challenges of financing longevity: Perspectives from Japan and the US"

Hirotaka Unami, Senior Director for Policy Planning and Research, Minister's Secretariat, Ministry of Finance, Japan

Olivia S. Mitchell, International Foundation of Employee Benefit Plans Professor, as well as Professor of Insurance/Risk Management and Business Economics/Policy, Wharton School, University of Pennsylvania

Session III: Financial Planning and Health

Chair: David Canning, Harvard University

14:00 – 15:00              “Cognitive Decline and Household Financial Outcomes at Older Ages”

                                                            Marco Angrisani, University of Southern California

                                                            Discussant: Kathleen McGarry, UCLA

15:00 – 15:15              Break

15:15 – 16:15             “From Compression to Expansion of Morbidity: Upcoming Challenges for Health Care and Long Term Care in China”

                                                            Bei Lu, University of New South Wales

                        Discussant: Wang Feng, Fudan University and UC Irvine

16:40                           Closing

 

Apri1 25

11:45 – 13:00              Lunch

                                    Policy challenges of financing longevity: Perspectives from Singapore

Kelvin Bryan Tan, Ministry of Health, Singapore

 

Conferences
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The venue of this event has been moved to the Okimoto Conference room.

Dr. Ruger, a leading scholar of global and domestic health policy and public health, will speak about global and national health inequities, drawing from her research in Asia --including India, Indonesia, Malaysia, South Korea, Vietnam -- and Africa. With training in political economy, health policy, international relations, comparative social research and law, Dr. Ruger crosses disciplines to reexamine the principles and values that underlie health policy and public health and apply these principles empirically.  She created the health capability paradigm, challenging existing approaches and illuminating optimal health policies and she has developed an empirical approach to evaluate public health programs and health policies as they measure up to that paradigm.  Dr. Ruger’s scholarship has critically scrutinized the existing global health architecture in order to identify more effective global health policy responses linking public policy and law to global health theory at the global and national levels.  Dr. Ruger studies critical health policy and public health problems such as the equity and efficiency of health system access, financing, resource allocation, policy reform and the social determinants of health.  Her forthcoming book, Global Health Justice and Governance (OUP, in press), advances a theory of global health justice and governance called provincial globalism.

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jennifer prah ruger
Dr. Ruger received a bachelor’s degree in the honors program in political economy from the University of California-Berkeley, master’s degrees from Oxford University, the Fletcher School of Law and Diplomacy and Yale University, a doctoral degree from Harvard University, and completed a post-doctoral fellowship at Harvard's Center for Population and Development. Dr. Ruger has authored over 100 publications and is internationally recognized for her leadership and work, which has been cited by the United Nations, World Bank, World Health Organization and United States Government.  She has been Principal Investigator and Co-Investigator on awards from the National Institutes of Health, Fogarty International Center, Hewlett Foundation, Henry J. Kaiser Family Foundation and she was awarded a Guggenheim Fellowship to complete Global Health Justice and Governance (OUP, in press).

Other papers:

1. Coping with Health Care Expenses Among Poor Households: Evidence from a Rural Commune in Vietnam: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=1435832

2. Impact of Health Insurance on Health Care Treatment and Cost in Vietnam: A Health Capability Approach to Financial Protection: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=1515733

3. Effect of Health Expenses on Household Capabilities and Resource Allocation in a Rural Commune in Vietnam: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=1435820

4. The Changing Donor Landscape in Health Sector Aid to Vietnam: A Qualitative Case Study: http://www.sciencedirect.com/science/article/pii/S0277953615001719

5. An Alternative Framework for Analyzing Financial Protection in Health: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=2139693

Jennifer Prah Ruger Amartya Sen Professor of Health Equity, Economics, and Policy, School of Social Policy and Practice, University of Pennsylvania
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The Shorenstein Asia-Pacific Research Center (APARC), in pursuit of training the next generation of scholars on contemporary Asia, has selected two postdoctoral fellows for the 2017-18 academic year. The fellows will begin their year of academic study and research at Stanford this fall.

Shorenstein APARC has for more than a decade sponsored numerous junior scholars who come to the university to work closely with Stanford faculty, develop their dissertations for publication, participate in workshops and seminars, and present their research to the broader community.

The 2017-18 cohort includes two Shorenstein Postdoctoral Fellows; they carry a broad range of interests from labor migration policy in China to regional institutions in East Asia. Their bios and research plans are listed below:


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hyun seung cho
H. Seung Cho is completing his doctorate at Columbia University’s Department of Political Science. He researches U.S. and Chinese foreign policy toward East Asia’s regional institutions with a broader interest in U.S.-China relations, the political economy of East Asia and qualitative research methods. His dissertation probes the popular narrative that United States and China are competing over East Asia’s regional architecture, arguing that mutual misperception and security dilemma dynamics also play out in the politics of regional institution building. To explore this phenomenon, Seung has conducted extensive fieldwork in Beijing, Jakarta, Seoul and Washington, D.C. At Shorenstein APARC, Seung will be developing his dissertation into a book manuscript while looking to further examine the relationship between the politics of East Asia’s multilateral security institutions and their perceived lack of effectiveness. Previously, Seung was a predoctoral fellow at Peking University’s School of International Studies from 2014-16. Prior to starting his doctoral studies, he also served in South Korean military intelligence as part of the two-year national service. Seung holds a Bachelor of Science in government and economics and Master of Science in international relations from the London School of Economics and Political Science (LSE).


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samantha vortherms
Samantha Vortherms is a doctoral candidate in the University of Wisconsin – Madison Department of Political Science. Her research focuses on comparative political economy, development, social welfare and research methodology. Her dissertation examines subnational variation in access to citizenship rights in China through the household registration system. Her research has been supported by the National Science Foundation, the U.S. Department of Education through the Fulbright-Hays Doctoral Dissertation Research Abroad and the Social Science Research Council's Dissertation Proposal Development Fellowship, among others. At Shorenstein APARC, Sam will work on converting her dissertation to a book manuscript and advance her post-dissertation project on the role of the firm in labor migration policies. Before going to Wisconsin, Sam received her Master of Arts in international relations at the University of Chicago, Artium Magister in public policy from University of Chicago's Harris School of Public Policy, and a Bachelor of Arts from the University of Richmond. From 2014-16, she was a visiting research fellow at the National School of Development's China Center for Health Economics Research at Peking University.

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