Health Care
Paragraphs

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.

All Publications button
1
Publication Type
Journal Articles
Publication Date
Journal Publisher
Applied Health Economics and Health Policy
Authors
Karen Eggleston
-

This seminar is part of SPRIE's Fall 2003 series on "High-Tech Regions and the Globalization of Value Chains."

Eric Benhamou is the chairman of the board of directors of 3Com Corporation, of Palm Inc. and of PalmSource, Inc. He served as chief executive officer of 3Com Corporation from September 1990 until December 31, 2000. In 1981, Benhamou co-founded Bridge Communications, an early networking pioneer, and was vice president of engineering until its merger with 3Com in 1987. Before joining Bridge Communications, he worked at Zilog, Inc. as project manager, software engineering manager and design engineer.

Benhamou holds honorary doctoral degrees from Ben Gurion University of the Negev, Widener University, Western Governors University, and the University of South Carolina. He has a master of science degree in electrical engineering from Stanford University and a Diplome d'Ingenieur from Ecole Nationale Superieure d'Arts et Metiers, Paris.

Benhamou currently serves as chairman of the board of Cypress Semiconductor and as a member of the board of Legato. He serves on the board of directors of privately held companies, Intransa and Atrica. He serves on the board of the New America Foundation, a Washington DC-based think tank. Benhamou serves on the executive committee of TechNet and of the Computer Science and Technology Board (CSTB). In addition, Benhamou is a champion of Smart Valley II, an initiative for deployment of state-of-the art information technology in Silicon Valleys health care, transportation, and education to enhance the quality of life for community members.

Philippines Conference Room

Eric Benhamou Chairman, Board of Directors 3Com Corporation, Palm, Inc., and PalmSource, Inc.
Seminars

Shorenstein APARC's Korean Studies Program, begun in September 2000 and led by Gi-Wook Shin, features weekly luncheon seminars on Korea-related issues, from war reporting to health care to democracy. Heavily attended by students and faculty alike, the series is often standing-room-only.

-

Dr. Chowdhury is a vascular surgeon and pioneering public health leader from Bangladesh who wrote "The Politics of Essential Drugs: The Makings of a Successful Health Strategy: Lessons from Bangladesh." In 1971, Dr. Chowdhury left England to return to what was then East Pakistan and join the war of liberation for Bangladesh. He helped establish a field hospital for freedom fighters and refugees, which lead to the development Gonoshasthaya Kendra (GK) or "The People's Health Center." GK has trained more than 7,000 barefoot doctors, and serves 1,000 villages in 14 Bangladeshi districts. A pharmaceutical factory was established by GK in 1981 which produces medicines on the World Health Organization's essential medicines list; employs 1,500 people and has an $11 million annual budget. One-half of its profits are reinvested and the other half go to GK's other projects. In 1985, Dr. Chowdhury and GK were awarded the Ramon Magsaysay Award (sometimes called the Asian Nobel Peace Prize) and in 1992, the Right Livelihood Award (also known as the alternative Nobel Prize). Dr. Chowdhury was instrumental in convincing the Bangladesh government to adopt a National Drug Policy in 1982. This controversial policy promotes essential medicines and discourages the use of drugs with little therapeutic value. GK hosted the People's Health Assembly in December 2000, which challenged global health organizations to improve public health care for the poor. Dr. Chowdhury is this year's International Honoree of the UC Berkeley School of Public Health Heroes.

Philippines Conference Room

Dr. Zafrullah Chowdury Vascular Surgeon Speaker The People's Health Center, Bangladesh
Seminars
-

Professor Campbell will discuss Japan's new public, mandatory, long-term care insurance program: does it make sense as social policy? As economic policy? Professor Creighton has long been interested in the relationship between politics and substantive public policy, and in the way policies change upon implementation. He has pursued this interest mostly in the context of the Japanese political system, and in this talk he will apply his framework to Japan's foray into socialized care for the elderly.

Okimoto Conference Room, Third Floor, East Wing, Encina Hall

John Creighton Campbell Professor of Political Science Speaker University of Michigan
Workshops
-

Korea achieved national health insurance coverage for the entire population in 1989, thirteen years after Korea adopted a national health insurance policy. Its success drew a lot of attention from other countries, including the US. This talk will explain the secrets of its success and also critique the pitfall of its national health insurance system. However, more recently, Korea has faced challenges from most parts of its health care system. The national health insurance corporation has been showing financial deficits. Also, the health care delivery sector has experienced a series of political battles among professional groups: physician vs. pharmacist, and oriental medical doctors vs. pharmacists. The seminar will analyze the reasons for these challenges, and discuss the direction for Korea's health care reforms. Those who have interests in the Korean national health insurance systems, please refer to Gerard Anderson (1989) "Universal Health Care Coverage in Korea." Health Affairs, Summer ,24-35. Miron Stano (1990) "Comparing US and Korean Health Care." Health Affairs, Summer, 237-238. Those who have interests in the political battles among professional groups, please refer to Hoy-Je Cho, (2000) "Traditional Medicine, Professional Monopoly and Structural Interests: a Korean Case." Social Science & Medicine, Vol 50, Issue 1, 123-135. These articles can be downloaded from the Stanford e-journal lists. This program is free and open to the public. Lunch will be provided for those who RSVP before noon on Wednesday, Novermber 28 to Okky Choi. Tel: (650) 724-8271 or Email: okkychoi@stanford.edu

Encina Hall, Central Wing, third floor, Philippines Conference Room

Ki-Taig Jung Visiting Professor , Stanford Center for Health Policy Speaker MD MBA Program, Kyung Hee University, Seoul Korea
Seminars
Paragraphs

On May 4 and 5, 2000, health care leaders, professionals, and academics convened at the Bechtel Conference Center at Stanford University for the Health Care Conference 2000. Sponsored by the Comparative Health Care Policy Research Project at the Asia/Pacific Research Center (Shorenstein APARC), in cooperation with the Center for Health Policy (CHP), the conference was held for the purpose of discussing health care policies and issues facing nations today. With the pressures of rising costs, aging populations in industrialized countries, and rapid technological advancements, the need for an accessible, affordable, and effective health care system is urgent and greater than ever. The first conference of its kind at Shorenstein APARC, the Health Care Conference 2000 established a forum for candid discussion about the past, present, and future of health care. Over sixty participants attended the conference. The panel consisted of speakers from governmental institutions, for-profit and nonprofit organizations, universities, and research institutes. The first day of the conference featured a discussion on the evolution of the health care market in the United States, while the second day focused on the effects of market forces overseas, specifically in England, Japan, the Netherlands, New Zealand, Scotland, and Singapore. The 1990s marked an era of major health care reform. For many nations with socialized health care systems, it was a decade to explore alternative systems and to move toward privatization. The implications of such changes were discussed in detail at the conference. The Health Care Conference 2000 was a successful and informative meeting, which opened the doors for future discussions on issues concerning health care around the world. These proceedings present, in edited form, the remarks of all primary conference speakers. Please contact Shorenstein APARC if you have any questions about the conference, or about the Center's work in general.

All Publications button
1
Publication Type
Working Papers
Publication Date
Journal Publisher
Shorenstein APARC
Authors
Number
ISBN: 1-931368-01-5

The Comparative Health Care Policy Research Project was initiated by APARC in 1990 to examine issues related to the structure and delivery of health care in Japan by utilizing contemporary social science. Further, the project was designed to make the study of Japan an integral part of international comparative health policy research. Yumiko Nishimura, the associate director, under the supervision of Daniel I. Okimoto, the principal investigator, leads the project.

Subscribe to Health Care