Health policy

Philippines Conference Room

Shorenstein APARC
Stanford University
Encina Hall, Room E301
Stanford, CA 94305-6055

(650) 724-6402 (650) 723-6530
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Visiting Scholar
PhD

Stella Quah, (PhD, University of Singapore; M.Sc [sociology], Florida State University) is professor of sociology at the National University of Singapore. She was a Fulbright Hays scholar from 1969 to 1971. Since 1986 she has spent academic sabbaticals as research associate and visiting scholar at the Institute of Governmental Studies, University of California Berkeley; the Center for International Studies at the Massachusetts Institute of Technology; the Department of Sociology at Harvard University; the Harvard-Yenching Institute, Harvard University; the Stanford Program in International Legal Studies, Stanford University; and the National Centre for Development Studies, Australian National University.

Professor Quah was elected vice president for research of the International Sociological Association (ISA); chairperson of the ISA Research Council for the session 1994-98; and served as associate editor of International Sociology (1998-2004).

Among her professional activities, Professor Quah serves on two institutional review boards; is member of the Society for Comparative Research; member of the International Advisory Board of the British Journal of Sociology; member of the Editorial Advisory Board of Health Sociology Review, the journal of the health section of the Australian Sociological Association; member of the editorial board of Marriage & Family Review; member of the International Advisory Board of Asian Population Studies; editor of the Sociology in Asia Series; and editor of the Health Systems Section, Encyclopedia of Public Health (Elsevier Inc).

Professor Quah's main areas of research are medical sociology, social policy, and family sociology. The complete list of her publications is at http://profile.nus.edu.sg/fass/socquahs.

Stella Quah Visiting Scholar, Shorenstein APARC, Stanford and Professor, Department of Sociology National University of Singapore Speaker
Jim Whitman Director, MA Programme, Department of Peace Studies, School of Social and International Studies, Speaker University of Bradford, United Kingdom
Chris Beyrer Director, Johns Hopkins Fogarthy AIDS International Training and Research Program, Director, Johns Hopkins Center for Public Health and Human Rights, Speaker Johns Hopkins Bloomberg School of Public Health
Graham Scambler Director, Unit of Medical Sociology, and Deputy Director,The Centre for Behavioural and Social Sciences in Medicine, Department of Medicine, Faculty of Clinical Sciences Speaker University College London
Kari Hartwig Division of Global Health, Dept of Epidemiology and Public Health Speaker Yale School of Medicine
DK Owens Speaker
Gabriel M. Leung Department of Community Medicine, Faculty of Medicine Speaker University of Hong Kong
Workshops
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In the run-up to the Olympics, China is a country of contradictions. On one hand, market reforms since 1980 have radically improved living standards across the vast country and dramatically decreased the levels of absolute poverty. On the other hand, the distribution of income and wealth has become more unequal, hard-core urban poverty has returned, and there are new concentrations of enormous wealth among a small minority. Drawing on fieldwork and survey results collected since 1998, Professor Davis will discuss how the accelerated commodification of assets and the internationalization of capital have re-shaped accumulation of material and non-material rewards at individual and group levels. In concluding, she addresses competing hypotheses about class formation and consolidation of privilege.

Deborah S. Davis (Ph.D. Boston University, 1979) is a Professor of Sociology at Yale University. Her primary teaching interests are historical and comparative sociology, inequality and stratification, contemporary Chinese society, and methods of fieldwork. Davis is currently a member of the National Committee on US China Relations and serves on the editorial boards of The European Journal of East Asian Studies, Social Forces and the new Yale China Health Journal. Past publications have analyzed the politics of the Cultural Revolution, Chinese family life, social welfare, class cleavages and occupational mobility. She is currently completing two books: A Home of Their Own, a study of the social consequences of privatization of real estate in Shanghai and Wealth and Poverty in China Today, proceedings from conference held at Yale on how recent Chinese experiences challenge prevailing sociological analysis of inequality and stratification. She also is actively involved in research and advocacy work in response to the AIDS epidemic in China.

This series is co-sponsored with the Center for East Asian Studies at Stanford University.

Philippines Conference Room

Deborah Davis Professor of Sociology Speaker Yale University
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There are currently an estimated 840,000 people in China who are infected with HIV. The largest two groups that have been affected are injection drug users and former plasma donors. Recent demographic and economic changes in China could and may be fueling an increase in sexual transmission in China. Dr. Nancy Shulman will give a brief overview of HIV in China and the governmental response. Future collaborative efforts with Stanford will also be discussed.

Co-sponsored with the Center for East Asian Studies

Philippines Conference Room

Nancy Shulman Instructor of Medicine, Division of Infectious Diseases, School of Medicine, Stanford University Speaker
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The Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) at the Freeman Spogli Institute for International Studies at Stanford University invites applications to receive funding grants for activities or programs focusing on health care policy in Asia. Shorenstein APARC welcomes research proposals on a wide range of topics from diverse disciplines, but has particular interest in international studies of demography; the effects of an aging population on social, economic, and political systems; and the causes and prevention of epidemics such as AIDS and Avian Influenza in Asian countries.

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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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Dr. Kiyoshi Kurokawa received his MD degree in 1962 from the University of Tokyo Faculty of Medicine. Currently, Dr. Kurokawa serves as president of both the Science Council of Japan and the Pacific Science Association. He is also adjunct professor at the Research Center for Advanced Science and Technology of the University of Tokyo and of the Institute of Medical Sciences of Tokai University. He is professor emeritus of the University of Tokyo and serves as a member of the Committee for Science and Technology Policy of the Cabinet Office and several committees for Prime Minister Koizumi's office.

Co-sponsored with the Center for Health Policy/Center for Primary Care and Outcomes Research.

Philippines Conference Room

Kiyoshi Kurokawa President Science Council of Japan
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Dr. Myron Cohen spoke earlier this year at the UN on AIDS in China. He has been very active in organizing medical research on AIDS in China and only recently returned from a conference held there in November on the subject.

Philippines Conference Room, Third Floor, Cemtral Wing, Encina Hall

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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
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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
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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.

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ISBN: 1-931368-01-5
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