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Karen Eggleston
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Clear evidence suggests the importance of health service provider payment incentives for achieving efficiency, equal access, and quality, including attention to primary, secondary, and tertiary prevention. “Pay for performance” may be on the cusp of significant expansion in Asia, and reform away from fee-for-service has been underway for several years in several economies. Yet despite the policy relevance, the evidence base for evaluating payment reforms in Asia is still very limited.

China in particular has been undertaking significant reforms to its health care system in both rural and urban areas. With the expansion of insurance coverage and need to resolve incentive problems like “supporting medical care through drug sales,” there is an urgent need for evaluating alternative ways of paying health service providers. Evidence from policy reforms in specific regions of China, as well as other economies of the Asia-Pacific, can provide valuable evidence to help inform policy decisions about how to align provider incentives with policy goals of quality care at reasonable cost.

To illuminate these questions, the Asia Health Policy Program and several collaborating institutions are planning to convene a conference on health care provider payment incentives on November 7-8, 2008 in Beijing. The conference will highlight and seek to distill “best-practice” lessons from rigorous and policy-relevant evaluations of recent reforms in China and elsewhere in the Asia Pacific.

The organizing committee – including health economists from Shorenstein APARC, Peking University, Tsinghua University, and Seoul National University – reviewed submissions in June 2008 and accepted sixteen. The conference papers cover payment issues in Korea, Japan, China, Taiwan, Thailand, Tajikistan, the Philippines, and the US, and the disciplines of economics, health services research/health policy, public health, medicine, and ethics. Topics include institutionalized informal payments; the impact of global budget policies on high-cost patients; public-private partnerships; public-sector physicians owning private pharmacies; evidence-informed case payment rates; payment and hospital quality; bonuses and physician satisfaction; physician prescription choice between brand-name and generic drugs; and differences in pharmaceutical utilization across insurance plans that pay providers differently (fee-for-service versus capitation).

Policymakers from China’s National Development and Reform Commission and Ministry of Health will also speak at the conference. Selected research papers will be published through the Shorenstein Asia-Pacific Research Center either in a special volume or in a special issue of an English-language health policy journal.

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South East Asia Forum Director, Donald Emmerson discusses what impact, if any, there will b e on US-North Korean relations and ASEAN-North Korean relations once Pyongyang signs the Treaty of Amity and Cooperation at next week's Southeast Asian regional security meeting in Singapore.
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While in London, Senior Research Scholar Rafiq Dossani spent time discussing the reasons behind India's continued rise and his recent book India Arriving: How This Economic Powerhouse is Redefining Global Business with CNBC's Europe Tonight host Guy Johnson.

While in London, Senior Research Scholar Rafiq Dossani spent time discussing the reasons behind India's continued rise and his recent book India Arriving: How This Economic Powerhouse is Redefining Global Business with CNBC's Europe Tonight host Guy Johnson. You can watch the interview here CNBC - Europe Tonight

 

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Yann-huei Song
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"Taiwan has territorial rights, sovereign rights and jurisdiction over islands in the South China Sea and the East China Sea, as well as, developmental and managerial rights to important resources in these areas," says Dr. Yann-huei Song. "It will be difficult for the South China Sea and the East China Sea to become truly peaceful and cooperative maritime areas" if Taiwan were not included in talks about developing the resources of these areas. Dr. Song would like to correct the translation in the online English version of the article. He says the translation says that in "2002 Taiwan built a runway on Itu Aba Island of the Spratly Island group in the South China Sea. In fact, it was built at the end of 2007, and Taiwan's President Chen visited the island by C-130 military cargo plane on February 2, 2008."
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The wireless telecommunications markets of both Japan and South Korea developed rapidly, offering extremely sophisticated and advanced wireless services. Yet, their fortunes in international markets diverged significantly: while Japanese handset manufacturers retreated to become virtual nonplayers, Korean firms gained global prominence. This paper argues that the politics of standard-setting and liberalization, set in motion by differences in initial conditions that created distinct domestic market dynamics, are critical in explaining this divergence. The Korean government, seeking independence from foreign equipment, actively sought to build domestic technological capacities through a standard that would advantage domestic firms in international markets. In contrast, the Japanese government, independent from foreign technology, was not initially focused on international markets, making it difficult later on to shift the terms of market competition away from an exclusive focus on the domestic market.

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Journal of Information Technology and Politics
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Kenji E. Kushida
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It was meant to be a celebration not a showdown, let alone a showdown that the brutal junta in Burma (Myanmar) would win. In August 2007, the Association of Southeast Asian Nations (ASEAN) turned forty. On November 20, to mark the occasion, the heads of government of the association's ten member states-Brunei, Burma, Cambodia, Indonesia, Laos, Malaysia, the Philippines, Singapore, Thailand, and Vietnam-met in Singapore for the thirteenth ASEAN Summit. A day later the heads of government from Australia, China, India, Japan, New Zealand, and South Korea joined them for the third East Asia Summit (EAS).

The summitry had three purposes. The first was to commemorate ASEAN's first forty years. From only five members at its inception in 1967, the association had by 1999 grown to encompass all of Southeast Asia's formerly quarrelsome states. For the first time in the region's history, a single indigenous organization could claim to stand for all of Southeast Asia-albeit only by overlooking just how variously accountable ASEAN's diverse regimes were to the peoples whom they presumed to represent.

But ASEAN was not content to rest on these laurels. The second reason for the summitry in Singapore was to prepare the organization for the future. The ASEAN summit's peak event was to be the unveilingand signing of a first-ever charter for the organization.

Finally, the packed schedule in Singapore was meant to project the best possible image of ASEAN to the assembled foreign guests and the wider world. By inaugurating a charter meant to enhance the association’s effectiveness, the organizers of the celebrations hoped to belie Western criticism that ASEAN was little more than a “talking shop.” They also hoped that showcasing the charter would distract attention from the presence in Singapore of ASEAN’s most widely castigated member, Burma, and thereby gain some relief from Western charges of guilt by association with that pariah state.

It was not to be. The summit was convened and the charter was signed. Plans to implement the ASEAN Economic Community were announced. But the Burmese junta stole the spotlight from these accomplishments in a way that tainted the anniversary, embarrassed the association in front of its foreign guests, and reminded analysts just how tenuously regionalism is related to democracy in Southeast Asia.

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Journal of Democracy
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Donald K. Emmerson
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Contradictory goals plague China’s pharmaceutical policy. The government wants to develop the domestic pharmaceutical industry and has used drug pricing to cross-subsidize public hospitals. Yet the government also aims to control pharmaceutical spending through price caps and profit-margin regulations to guarantee access even for poor patients. The resulting system has distorted market incentives, increased consumer cost, and financially rewarded inappropriate prescribing, thus undermining public health. Though pharmaceuticals account for about half of total healthcare expenditures in China, representing 43% of expenditure per inpatient episode and 51% of expenditure per outpatient visit, some essential medicines are unavailable or of questionable quality.

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Health Affairs
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Karen Eggleston
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Co-published by the East-West Center, this book originated in a 2004 conference convened by the Southeast Asia Forum (SEAF) at Shorenstein APARC.

The book in which this chapter appears—Southeast Asia in Political Science: Theory, Region, and Qualitative Analysis (ed. Erik Martinez Kuhonta, Dan Slater, and Tuong Vu—argues that Southeast Asian political studies have made important contributions to theory building in comparative politics through a dialogue involving theory, area studies, and qualitative methodology.

The book provides a state-of-the-art review of key topics in the field, including: state structures, political regimes, political parties, contentious politics, civil society, ethnicity, religion, rural development, globalization, and political economy. The chapters allow readers to trace the development of the field of Southeast Asian politics and to address central debates in comparative politics. The book will serve as a valuable reference for undergraduate and graduate students, scholars of Southeast Asian politics, and comparativists engaged in theoretical debates at the heart of political science.

Reviews

"The scholarship here is excellent. These people know their region and its literature cold. This collection demonstrates the potential of qualitative Southeast Asian area studies to contribute to the broader accumulation of knowledge in political science, including the development of disciplinary theory."
-Jack Snyder, Columbia University

"This collection consists of elegantly written, carefully crafted, intelligent, and interesting essays that will be of enormous value to scholars of the politics of Southeast Asia."
-John Sidel, London School of Economics

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Stanford University Press in "Southeast Asia in Political Science: Theory, Region, and Qualitative Analysis"
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Donald K. Emmerson
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9780804758109
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In looking back at President Lee's first 100 days, Gi-Wook Shin and a former Pantech Fellow, John Feffer, assess the issues in Korea today. "With a big margin in his victory, President Lee thought and misunderstood that he had a mandate to do whatever he wanted to do and that backfired, " says Shin.
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