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Stanford health policy expert Karen Eggleston has been appointed as a senior fellow at the Freeman Spogli Institute for International Studies (FSI), effective Sept. 1, 2015, on a continuing term.

Eggleston, who leads the Asia Health Policy Program at Stanford’s Walter H. Shorenstein Asia Pacific Research Center (APARC), is a recognized authority on comparative health policy and the economics of the demographic transition in Asia, especially China.

“FSI is delighted that Karen’s impressive scholarship and strong program leadership has earned her a promotion to the position of senior fellow,” FSI director Michael McFaul said. “It’s a well-deserved honor and the institute looks forward to working with her for many years to come.”

Trained as an economist, Eggleston first came to Stanford as a center fellow in 2007 to lead a program on Asian health policy in comparative perspective. Since then, the program has grown into an innovative hub of research, training and policy outreach.

Eggleston’s new appointment also carries membership in the University’s Academic Council and status as a principal investigator for research projects. Her research areas include population aging, healthcare productivity (“value for money”), insurance and payment incentives, and health system governance. Currently, she is leading a comparative study of “value for money” in diabetes care, with patient-level data from Japan, Hong Kong, Taiwan and China.

“Karen has been a pioneering force at our center, and in the area of Asia health policy,” said Gi-Wook Shin, director of Shorenstein APARC. “Her strong record of scholarly accomplishment has enriched the intellectual life at Stanford, and we look forward to continuing to support her research and teaching endeavors.”

Eggleston has led many crosscutting initiatives at Stanford including the organization of multiple international conferences in the United States and abroad. This past year, she co-organized a conference on China’s health reforms and primary care, held at the Stanford Center at Peking University.

She has testified on China’s health system before a U.S. congressional commission, and in 2014, spoke at the Jackson Hole Symposium of the Federal Reserve Bank.

Eggleston teaches students through Stanford’s East Asian Studies program and is an active author/editor of books and publications, including a special issue of the Journal of the Economics of Ageing (2014) focused on the economic implications of population aging in China and India. She expects to release two edited volumes through Shorenstein APARC’s publishing program shortly.

Eggleston is also a faculty research fellow at the National Bureau of Economic Research as well as affiliated with Stanford’s Center for Health Policy / Center for Primary Care and Outcomes Research.

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The fourteenth session of the Korea-U.S. West Coast Strategic Forum, held Stanford University on June 25, 2015, convened senior South Korean and American policymakers, scholars and regional experts to discuss North Korea policy and recent developments on the Korean Peninsula. Hosted by the Korea Program at the Walter H. Shorenstein Asia-Pacific Research Center at Stanford University, the Forum is also supported by the Korea National Diplomatic Academy.

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Co-sponsored by the Health Economics Seminar

We present the first direct evidence on the relative quality of public and private healthcare in a low-income setting, using a unique set of audit studies. We sent standardized (fake) patients to rural primary care providers in the Indian state of Madhya Pradesh, and recorded the quality of care provided and prices charged in each interaction. We report three main findings. First, most private providers lacked formal medical training, but they spent more time with patients and completed more essential checklist items than public providers and were equally likely to provide a correct treatment. Second, we compare the performance of qualified public doctors across their public and private practices and find that the same doctors exerted higher effort and were more likely to provide a correct treatment in their private practices. Third, in the private sector, we find that prices charged are positively correlated with provider effort and correct treatment, but also with unnecessary treatments. In the public sector, we find no correlation between provider salaries and any measure of quality. We develop a simple theoretical framework to interpret our results and show that in settings with low levels of effort in the public sector, the benefits of higher diagnostic effort in the private sector may outweigh the costs of market incentives to over treat. These differences in provider effort may partly explain the dominant market share of fee-charging private providers even in the presence of a system of free public healthcare.

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Karthik Muralidharan is an associate professor of economics at the University of California, San Diego where he joined the faculty as an assistant professor in 2008.

Born and raised in India, he earned an A.B. in economics (summa cum laude) from Harvard, an M.Phil. in economics from Cambridge (UK), and a Ph.D. in economics from Harvard. He is a Research Associate of the National Bureau of Economic Research (NBER), an Affiliate at the Bureau for Research and Economic Analysis of Development (BREAD), a Member of the Jameel Poverty Action Lab (J-PAL) network, an Affiliate at the Center for Effective Global Action (CEGA), and a Research Affiliate with Innovations for Poverty Action (IPA).

Prof. Muralidharan's primary research interests include development, public, and labor economics. Specific topics of interest include education, health, and social protection; measuring quality of public service delivery; program evaluation; and improving the effectiveness of public spending (with a focus on developing countries). Courses taught include undergraduate and graduate classes in development economics, program evaluation, and the economics of education.

 

Quality and Accountability in Healthcare Delivery: Audit-Study Evidence from Primary Care in India
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Quality and Accountability in Healthcare Delivery: Audit-Study Evidence from Primary Care in India
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Karthik Muralidharan Associate Professor of Economics at the University of California, San Diego
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Publicly provided long-term care (LTC) insurance with means-tested benefits is suspected to crowd out either private LTC insurance (Brown and Finkelstein, 2008), private saving (Gruber and Yelowitz, 1999; Sloan and Norton, 1997), or informal care (Pauly, 1990; Zweifel and Strüwe, 1997). This contribution predicts crowding-out effects for both private LTC insurance and informal care on the one hand and private saving and informal care on the other. These effects result from the interaction of a parent who decides about private LTC insurance before retirement and the amount of saving in retirement and a caregiver who decides about effort devoted to informal care. Some of the predictions are tested using a recent survey from China.

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Peter Zweifel is an Emeritus of the University of Zurich. After a postdoc position with  the University of Wisconsin-Madison in 1974-75, he received tenure with the University of Zurich in 1984. Publications include more than 100 articles in refereed journals (AER, EnJ, EurJHE, JHE, JRI, JRU, PubCh) as well as Health Economics (with F. Breyer und M. Kifmann) and Insurance Economics (with R. Eisen); Energy Economics (with G. Erdmann and A. Praktiknjo) will be available by the end of 2015.

Long-term care: Is there crowding out of informal care, private insurance as well as saving?
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Peter Zweifel Emeritus, University of Zurich, Switzerland
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Stanford professor Gi-Wook Shin has been reappointed for another term as the director of Stanford's Walter H. Shorenstein Asia-Pacific Research Center (APARC), from July 1, 2016 through Aug. 31, 2019. The announcement was made yesterday in an email.

“I have been blessed with such a wonderful group of faculty, staff and visitors over the years and am truly grateful for your confidence in me and support of my work,” Shin said. “I look forward to continuing to work with all of you in the coming years.”

Shin has since 2005 served as director of Shorenstein APARC, one of six centers within the Freeman Spogli Institute for International Studies (FSI).

“We are extremely grateful for Gi-Wook’s leadership and are looking forward to his continued dedication to Shorenstein APARC and FSI,” FSI Director Michael McFaul said.

A comparative historical and political sociologist, Shin came to Stanford in 2001 to build a program focused on Korean studies. Under his leadership, Shorenstein APARC and the Korea Program have grown into a premiere forum for scholars, government officials and business leaders to convene on the interdisciplinary study of contemporary Asia.

Shin is a critically acclaimed author/editor of more than a dozen books and numerous articles. His recent works include an examination of how South Korea can leverage brain drain in Global Talent: Skilled Labor as Social Capital in Korea and an analysis of how memories of World War II are interpreted in contemporary Asia and Europe in Confronting Memories of World War II: European and Asian Legacies.

Shin will be on sabbatical leave from Oct. 1, 2015, through June 30, 2016. During that time, Takeo Hoshi will serve as the center’s acting director.

Hoshi is a senior fellow in FSI and a professor, by courtesy, of finance at Stanford’s Graduate School of Business. He also leads the Japan Program at Shorenstein APARC.

Kathleen Stephens will serve as the acting director of the Korea Program in Shin’s absence. Announced earlier this year, Stephens will join the center in September as the William J. Perry Distinguished Fellow in Korean Studies.

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Gi-Wook Shin is reappointed as director of the Walter H. Shorenstein Asia-Pacific Research Center.
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Corporate Affiliate Visiting Fellow, 2015-16
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Huaxiang Ma is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-16.

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Center members are cordially invited to the

2015 - 2016 Center Orientation

Come meet new colleagues and learn about

research & projects taking place this year,

while enjoying a delicious lunch

 

 

Conferences

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

(650) 724-9632 (650) 723-6530
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Program Coordinator, China Program
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Adam Martyn was the program coordinator of the China Program at the Shorenstein Asia-Pacific Research Center. He earned a bachelor's degree in international studies from New York University. As a student at NYU, Martyn researched infanticide in rural West Africa. He also spent a semester studying at Eastern China Normal University in Shanghai. Prior to attending NYU, Martyn served as a volunteer with the United States Peace Corps in Ghana, West Africa. As a Peace Corps volunteer, he coordinated several technical training events and developed health and education outreach programs.

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Corporate Affiliate Visiting Fellow, 2015-17
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Hung-Jen (Fred) Yang is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-17.  Dr. Yang is a physician executive and is currently Chairman of MissionCare Inc., and President of Healthcare Corporation of Asia, a company that owns and operates four community hospitals and seven long-term care facilities in northern Taiwan.  After graduating from National Taiwan University Medical School with an MD degree in 1994, Yang pursued a career in healthcare management.  He earned a Master of Public Health (PH) degree from Harvard in 1995 and an MBA from the Drucker School of Management at Claremont Graduate University, CA in 1997.  Before going back to Taiwan in 1998, he worked as a financial analyst for Tenet Healthcare System, the second largest hospital chain in the U.S. Since 1998, Yang has been actively serving the MissionCare Group in many capacities, such as Chief Financial Officer, Chief Operation Officer and Chief Executive Officer.   Over the past ten years. Yang has made significant contributions not only to his company but also to the healthcare industry in Taiwan.  Under his leadership, MissionCare became Taiwan's first JCI accredited hospital, hence helping to elevate Taiwan's healthcare quality to a higher level.  In addition to hospital management, Yang also excels at health economics, financial engineering and strategic management.  In 2010, he received  an Ernst & Young Taiwan Entrepreneur Award for conducting the successful listing of his company on the Taipei OTC, making it the only hospital group listed in Taiwan.

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Corporate Affiliate Visiting Fellow, 2015-16
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Ryo Washizaki is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-16.  Prior to joining Shorenstein APARC, he served as Patent Examiner at the Japan Patent Office, where he was in charge of civil engineering technology.

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