APARC Publications
Shorenstein APARC Publications
Explore our active publishing program and the academic works of our experts
New Publications
Examining South Korea's Democratic Decline
In 'South Korea's Democracy in Crisis,' experts from Korea and the US explore how illiberalism, populism, and polarization have eroded Korean democracy and affected Korean society and politics.
Fostering Pathways to Innovation in the Asia-Pacific
In 'Drivers of Innovation,' scholars from the US and Asia explore education and finance policies conducive to accelerating entrepreneurship and developing human capital for innovation in Asian nations.
Analyzing Japan-Southeast Asia Relations in the Indo-Pacific Era
In Kiyoteru Tsutsui's and John D. Ciorciari's 'The Courteous Power,' experts offer fresh perspectives on Japan's relationships with Southeast Asian nations and the balance in the Indo-Pacific region.
APARC Monograph Series with Stanford University Press
Jointly with Stanford University Press, the Center produces the series Studies of the Walter H. Shorenstein Asia-Pacific Research Center, featuring academic research by our faculty and scholars.
APARC In-House Series with the Brookings Institution Press
The Center produces a self-published book series featuring policy-relevant research and analysis by our scholars and affiliates. Titles in this series are distributed by Brookings Institution Press.
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Karen Eggleston
Journal Articles
Projecting Prevalence of Frailty and Dementia and the Economic Cost of Care in Japan From 2016 to 2043
Megumi Kasajima, Karen Eggleston, Shoki Kusaka , Hiroki Matsui , Tomoki Tanaka, Bo-Kyung Son, Katsuya Iijima, Kazuo Goda, Masaru Kitsuregawa, Jay Bhattacharya, Hideki Hashimoto
The Lancet Public Health,
2022
April 26, 2022
A Microsimulation Modelling Study
Journal Articles
Educational Gradients in Disability Among Asia’s Future Elderly: Projections for the Republic of Korea and Singapore
Cynthia Chen, Karen Eggleston, Jue Tao Lim, Ngee Choon Chia, Daejung Kim, Haemi Park, Lijia Wang, Bryan Tysinger, Daejung Kim, Ngee Choon Chia, Haemi Park, Lijia Wang, Bryan Tysinger, Michelle Zhao, Alex R. Cook, Ming Zhe Chong, Jian-Min Yuan, Stefan Ma, Kelvin Bryan Tan, Tze Pin Ng, Koh Woon-Puay, Joanne Yoong, Jay Bhattacharya
Asia Development Review,
2022
April 1, 2022
Journal Articles
The Association between Health Workforce and Health Outcomes: A Cross‑Country Econometric Study
Karen Eggleston, Jinlin Liu
Social Indicators Research,
2022
March 14, 2022
Journal Articles
Impact of the COVID-19 Pandemic on Chronic Disease Care in India, China, Hong Kong, Korea, and Vietnam
Karen Eggleston, Kavita Singh, Yiqian Xin, Yuyin Xiao, Jianchao Quan, Daejung Kim, Thi-Phuong-Lan Nguyen, Dimple Kondal, Xinyi Yan, Guohong Li, Carmen S. Ng, Hyolim Kang, Hoang Minh Nam, Sailesh Mohan, Lijing L. Yan, Chenshu Shi, Jiayin Chen, Hoa Thi Hong Hanh, Viswanathan Mohan, Sandra Kong
Asia Pacific Journal of Public Health,
2022
January 22, 2022
Journal Articles
Urban-Rural Health Insurance Integration in China
Qin Zhou, Qing He, Karen Eggleston, Gordon G. Liu
Applied Economics,
2021
November 8, 2021
Impact on Health Care Utilization, Financial Risk Protection, and Health Status
Journal Articles
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
Journal of Health Economics,
2021
November 2, 2021
Journal Articles
Healthcare Utilization at Retirement in China
Qin Zhou, Karen Eggleston, Gordon G. Liu
Health Economics,
2021
July 29, 2021
Journal Articles
The Impact of Catastrophic Medical Insurance in China: A Five-Year Patient-Level Panel Study
MinYu, Jieming Zhong, Ruying Hu, Xiangyu Chen, Chunmei Wang, Kaixu Xie, Merrell Guzman, Xiaotong Gui, Sandra Tian-Jiao Kong, Tingting Qu, Karen Eggleston
The Lancet Regional Health - Western Pacific,
2021
July 5, 2021
Journal Articles
Development and Validation of the CHIME Simulation Model to Assess Lifetime Health Outcomes of Prediabetes and Type 2 Diabetes in Chinese Populations: A Modeling Study
Jianchao Quan, Carmen S. Ng, Harley H. Y. Kwok, Ada Zhang, Yuet H. Yuen, Cheung-Hei Choi, Shing-Chung Siu, Simon Y. Tang, Nelson M. Wat, Jean Woo, Karen Eggleston, Gabriel M. Leung
PLOS Medicine,
2021
June 24, 2021
Journal Articles
Patient Experiences and Perceptions of Chronic Disease Care During the COVID-19 Pandemic in India
Kavita Singh, Aprajita Kaushik, Leslie Johnson, Suganthi Jaganathan, Prashant Jarhyan, Mohan Deepa, Sandra Kong, Nikhil Srinivasapura Venkateshmurthy, Dimple Kondal, Sailesh Mohan, Ranjit Mohan Anjana, Mohammed K Ali, Nikhil Tandon, K M Venkat Narayan, Viswanathan Mohan, Karen Eggleston, Dorairaj Prabhakaran1
BMJ Open,
2021
June 18, 2021
A Qualitative Study
Books
Demographics and Innovation in the Asia-Pacific
Karen Eggleston, Joon-Shik Park, Gi-Wook Shin
2021
May 15, 2021
Journal Articles
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
April 8, 2021
A Mixed Methods Study
Books
The Dragon, the Eagle, and the Private Sector
Karen Eggleston, John D. Donahue, Richard J. Zeckhauser
2021
February 18, 2021
Public-Private Collaboration in China and the United States
Working Papers
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
February 16, 2021
In one of the first studies of service sector robotics using establishment-level data, we study the relationship between robots and staffing in Japanese nursing homes. We utilize variation in robot subsidies across prefectures as an instrumental variable to explore the impact of robot adoption on nursing homes’ staffing decisions. We find that robot adoption appears to decrease difficulty in staff retention and to increase employment by augmenting the number of care workers and nurses on flexible employment contracts.
Working Papers
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
February 16, 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.
Journal Articles
False Alarm? Estimating the Marginal Value of Health Signals
Brian Chen, Karen Eggleston, Toshiaki Iizuka, Katsuhiko Nishiyama
Journal of Public Economics,
2021
February 2, 2021
Working Papers
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
January 29, 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.
Journal Articles
Cost-effective Interventions to Prevent Non-communicable Diseases: Increasing the Evidence Base in India and Other Low- and Middle-income Settings
Karen Eggleston, Radhika Jain
BMC Medicine,
2020
December 9, 2020
Journal Articles
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
July 14, 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.
Books
Healthy Aging in Asia
Karen Eggleston
2020
May 15, 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.
Testimonies
China’s Evolving Healthcare Ecosystem: Challenges and Opportunities
Karen Eggleston
2020
May 7, 2020
Testimony before the U.S.-China Economic and Security Review Commission
Journal Articles
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
November 3, 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.
Journal Articles
Healing One-Fifth of Humanity: Progress and Challenges for China's Health System
Karen Eggleston,
Milken Institute Review,
2019
October 28, 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."
Working Papers
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
October 18, 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.
Books
Understanding "Value for Money" in Healthy Ageing (chapter in ebook)
Karen Eggleston,
2019
October 14, 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.