Health and Medicine

FSI’s researchers assess health and medicine through the lenses of economics, nutrition and politics. They’re studying and influencing public health policies of local and national governments and the roles that corporations and nongovernmental organizations play in providing health care around the world. Scholars look at how governance affects citizens’ health, how children’s health care access affects the aging process and how to improve children’s health in Guatemala and rural China. They want to know what it will take for people to cook more safely and breathe more easily in developing countries.

FSI professors investigate how lifestyles affect health. What good does gardening do for older Americans? What are the benefits of eating organic food or growing genetically modified rice in China? They study cost-effectiveness by examining programs like those aimed at preventing the spread of tuberculosis in Russian prisons. Policies that impact obesity and undernutrition are examined; as are the public health implications of limiting salt in processed foods and the role of smoking among men who work in Chinese factories. FSI health research looks at sweeping domestic policies like the Affordable Care Act and the role of foreign aid in affecting the price of HIV drugs in Africa.

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The Asia Health Policy Program at Stanford’s Shorenstein Asia-Pacific Research Center, in collaboration with scholars from Stanford Health Policy's Center on Demography and Economics of Health and Aging, the Stanford Institute for Economic Policy Research, and the Next World Program, is soliciting papers for the third annual workshop on the economics of ageing titled Financing Longevity: The Economics of Pensions, Health Insurance, Long-term Care and Disability Insurance held at Stanford from April 24-25, 2017, and for a related special issue of the Journal of the Economics of Ageing.

The triumph of longevity can pose a challenge to the fiscal integrity of public and private pension systems and other social support programs disproportionately used by older adults. High-income countries offer lessons – frequently cautionary tales – for low- and middle-income countries about how to design social protection programs to be sustainable in the face of population ageing. Technological change and income inequality interact with population ageing to threaten the sustainability and perceived fairness of conventional financing for many social programs. Promoting longer working lives and savings for retirement are obvious policy priorities; but in many cases the fiscal challenges are even more acute for other social programs, such as insurance systems for medical care, long-term care, and disability. Reform of entitlement programs is also often politically difficult, further highlighting how important it is for developing countries putting in place comprehensive social security systems to take account of the macroeconomic implications of population ageing.

The objective of the workshop is to explore the economics of ageing from the perspective of sustainable financing for longer lives. The workshop will bring together researchers to present recent empirical and theoretical research on the economics of ageing with special (yet not exclusive) foci on the following topics:

  • Public and private roles in savings and retirement security
  • Living and working in an Age of Longevity: Lessons for Finance
  • Defined benefit, defined contribution, and innovations in design of pension programs
  • Intergenerational and equity implications of different financing mechanisms for pensions and social insurance
  • The impact of population aging on health insurance financing
  • Economic incentives of long-term care insurance and disability insurance systems
  • Precautionary savings and social protection system generosity
  • Elderly cognitive function and financial planning
  • Evaluation of policies aimed at increasing health and productivity of older adults
  • Population ageing and financing economic growth
  • Tax policies’ implications for capital deepening and investment in human capital
  • The relationship between population age structure and capital market returns
  • Evidence on policies designed to address disparities – gender, ethnic/racial, inter-regional, urban/rural – in old-age support
  • The political economy of reforming pension systems as well as health, long-term care and disability insurance programs

 

Submission for the workshop

Interested authors are invited to submit a 1-page abstract by Sept. 30, 2016, to Karen Eggleston at karene@stanford.edu. The authors of accepted abstracts will be notified by Oct. 15, 2016, and completed draft papers will be expected by April 1, 2017.

Economy-class travel and accommodation costs for one author of each accepted paper will be covered by the organizers.

Invited authors are expected to submit their paper to the Journal of the Economics of Ageing. A selection of these papers will (assuming successful completion of the review process) be published in a special issue.

 

Submission to the special issue

Authors (also those interested who are not attending the workshop) are invited to submit papers for the special issue in the Journal of the Economics of Ageing by Aug. 1, 2017. Submissions should be made online. Please select article type “SI Financing Longevity.”

 

About the Next World Program

The Next World Program is a joint initiative of Harvard University’s Program on the Global Demography of Aging, the WDA Forum, Stanford’s Asia Health Policy Program, and Fudan University’s Working Group on Comparative Ageing Societies. These institutions organize an annual workshop and a special issue in the Journal of the Economics of Ageing on an important economic theme related to ageing societies.

 

More information can be found in the PDF below.


 

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Abstract cover image for book Policy Challenges from Demographic Change in China and India

The world’s two most populous countries face numerous policy challenges from rapid demographic change. Drawing on social science expertise from China, India, and the United States, the contributors examine the social and economic challenges for policies across a range of domains, from China’s changed family planning policies and India’s efforts to address gender imbalance, to both countries’ policies regarding old-age support, human capital investment, poverty alleviation, and broader issues of governance.

Sections focus on:

  • Policy Challenges and Economic Impact
  • Fertility and Sex Imbalance
  • Human Capital and Urbanization
  • Population Aging

Desk or examination copies can be ordered from Stanford University Press.

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This forum will focus on the importance of community health services and primary health care reform in China and discuss the deepening efforts to establish a two-way referral system to help boost access and equality of high-quality medical resources and basic public health services.  At this year’s annual forum, distinguished experts will present research examining China’s emerging hierarchical medical system (including insurance payments, referral arrangements, and chronic and acute disease treatment initiatives). Policymakers, providers, and researchers will introduce China's overall policies towards this new system as well as describe the practice and challenges of primary care delivery and innovative approaches of internet-based and integrated medical care systems.

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Xiaofang Han Former Director of Beijing Municipal Development and Reform Commission
Xinbo Liao Inspector of The Health and Family Planning Commission of Guangdong Province
Jifu Zhan Deputy Mayor of Sanming, Fujian province
Su Xu Deputy Director General of Shanghai Health and Family Planning Commission, Director of Shanghai health care reform office
"and other speakers; please see agenda"
Workshops
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In this session of the Corporate Affiliates Research Presentations, the following will be presented:

Avni Jethwa, Reliance Life Sciences, "Biosimilars in the U.S.:  Regulatory & Technological Challenges for Manufacturers"

In March 2015, the first biosimilar product was approved in the U.S. as per the Biologics Price Competition and Innovation Act (BPCI Act) of 2009, section 351(k) biologics license application (BLA).  Five years after the enactment of the BPCI Act and following its first biosimilar approval, the U.S. Food and Drug Administration (U.S. FDA) finalized its initial guidance describing the scientific and regulatory expectations for biosimilar approval under the 351 (k) pathway.  Biologic manufacturers are provided with regulatory guidance in the form of scientific considerations, quality considerations and questions & answers regarding the implementation of the BPCI Act.  With this new regulation, many BLA applications are under review by the U.S. FDA.

In her research, Jethwa has focused on barriers for biologics manufacturers in order to enter the highly regulated U.S. market.  Her research identifies regulatory and technological challenges such as scientific issues, bioequivalence or interchangeability, quality consideration, innovator patents & strategies, healthcare spending and market potential.

 

Aki Takahashi, Nissoken, "A Study of Innovation Focusing on the Restructuring of Family Businesses for Longevity"

According to the National Tax Bureau in Japan, there were over three million Japanese family businesses in 2013.  Additionally, companies in Japan are more sustainable than companies in the U.S.  However, U.S. companies continue to find ways to be innovative.  In her research, Takahashi attempts to answer the following questions – What is needed for sustainable management in the case of U.S-family businesses? and How have U.S. family businesses overcome external circumstances to become successful?  Takahashi took over her family’s driving school business from her father in 2009.  Based on her experiences owning a family business in Japan, she explored the successes and failures of family-owned businesses and how innovation of family business can sustain longevity in the U.S.  Takahashi believes the conditions of management in Japan are rapidly changing, making companies unable to keep up with effective management.  As a result, Takahashi offers suggestions to Japanese family businesses to help improve sustainable management in Japan.

 

Hideaki Tamori, The Asahi Shimbun, "A Study of News Notification for Multi-Devices"

The IT industry is producing many new types of internet-connected devices for consumers, including wearable devices, such as glasses and watches.  Such devices may be more convenient than traditional devices because they are small and wearable and thus, literally always at hand.  Every day, we receive many notifications on these devices making them very important connecting points for the media.  Publishers prefer to distribute short texts for notifications, but this is not easily done.  Because there are so many different types of devices available and no unified screen size, publishers cannot decide on the best format and length for these notifications.  In his research, Tamori discusses suitable formats for notifications on small devices.  By using a natural language processing method for automatic text summarization, Tamori developed an application that produces various formats of notifications for news depending on the display size.  He also evaluated which form is best for small devices.

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Corporate Affiliate Visiting Fellow, 2015-16
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Avni Jethwa is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-16.  Jethwa has eight years of experience in handling pharmaceutical manufacturing & quality management systems and has been with Reliance Life Sciences Pvt. Ltd., India since 2007.  Currently, Jethwa is a Manager in the Quality Assurance group and is accountable for quality assurance function handling in-process quality checks for the entire manufacturing process - drug substance & drug product, batch release, handling of deviations, out of specifications, investigations, corrective & preventative actions, change controls, technology transfer, process validation, cleaning validation, internal & external audits, vendor & contract testing laboratory audits, annual produce quality reviews, product stability studies, document & data control and supporting for regulatory filing.  Jethwa received her post graduate degree in microbiology from the University of Mysore, India in 2007.

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Reliance Life Sciences
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Corporate Affiliate Visiting Fellow, 2015-17
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Aki Takahashi is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-17.  Takahashi is the CEO of the Musashisakai Driving School in Tokyo as well as an assistant lecturerer with Nissoken.  For over 15 years, she has provided an operational excellence in the Japanese service industry from her experience and research.  While at Shorenstein APARC, Takahashi will research the ways Design Thinking is connected to culture and how Design Thinking can become more widespread in Japan.

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Nissoken
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Corporate Affiliate Visiting Fellow, 2015-16
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Hideaki Tamori 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, Tamori worked as a computer engineer and researcher for The Asahi Shimbun, the national leading newspaper in Japan.  He developed some applications such as a web-based DTP system and augmented reality application for newspapers.  While at Stanford, Tamori is researching the technology necessary for future media, especially the natural language processing and security.  He received his Ph.D. in Information Science from Hokkaido University.

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The Asahi Shimbun
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In this session of the Corporate Affiliates Research Presentations, the following will be presented:

Wataru Fukuda, Shizuoka Prefectural Government, "Software Solutions of Tourism Promotion"

In his research, Fukuda investigates the possibilities of expanding the inbound tourism market in Japan, especially in the Shizuoka prefecture, a local area of Japan.  He provides an overview of the online travel industry and how they are expanding their market with new technologies and innovations.  After reviewing how software services for international travelers is currently being used in Japan, he focuses on specific applications with the highest potential to make Shizuoka more accessible and attractive for international travelers.  Additionally, he reviews regulations and obstacles that could prevent these new technologies and innovations from being implemented.  As a result, Fukuda suggests that the suppliers of local tourism provide their services with a holistic utilization of the applications.

 

Catherine Huang, Beijing Shanghe Shiji Investment Company, "How the U.S. Capital Market Helps Enterprises Grow From the Infant State to Mature Businesses"

China is slowing down its pace for development, facing the so-called “middle income trap”.  While the attention to the macroeconomic picture is necessary, it is not sufficient.  Extraordinary monetary policies buy time, but they do not solve the fundamental problem.  The focus needs to be on the structural reforms – the microeconomic entities, to which the capital market acts like a lifeline, will drive future growth.  The productivity, competition and innovation in all sectors – all of which are largely fueled by an efficient, healthy and accessible capital market – ensure a productive supply-side growth.  In her research, Huang explores the culture, participants and regulatory system of the U.S. capital market and tries to figure out what China’s capital market development can learn from this system.

 

Yuichiro Muramatsu, Mitsubishi Electric, "Manufacturing Industry with Big Data Analysis on IoT"

The Internet of Things (IoT) is major technology that connects devices and cloud service.  Cloud service computes device data and returns meaningful results for abnormal detection, performance improvement and prediction.  One key component of IoT is big data analysis.  Japan’s Ministry of Economy, Trade and Industry’s 2015 Whitepaper states that innovation in the manufacturing industry by using IoT and big data analysis is about to launch, but few cases exist in Japan.  Innovative companies like Netflix, Uber and AirBnB are data driven companies and the manufacturing industry is also expected to have smart factories with big data analysis.  In his research, Muramatsu investigates the use of big data analysis on IoT and identifies useful cases of business efficiency and the methodology that supports big data analysis.

 

Fred Yang, MissionCare, "Private Hospitals in Taiwan and the Implications"

In most East Asian countries, including Japan, South Korea and Taiwan, private hospitals are the majority in the market.  In China, even though private hospitals have been in fast growth for the past 10 years, their size remains small and the market is still dominated by large public hospitals.  In the most recent move of healthcare reform in China, the government emphasized and encouraged the entry of private-non-profit hospitals into the market. 

In the National Health Insurance Administration’s (NHIA) Open Information System, a set of quality indicators is computed based on hospitals’ reimbursement data.  A committee comprised of representatives from government, academia and hospitals select these indicators and the data is published to the general public on a quarterly basis. 

By using statistical tools such as descriptive analysis, univariate analysis, and multivariable analysis, Yang focused on the comparison of hospital performance by ownership in Taiwan.  The results revealed limited differences among three types of hospitals by ownership, which is consistent with findings of most studies.  Based on his findings, Yang provides policy implications to the market and policy makers that include 1) hospital ownership might not be a key determinant of a hospital’s quality and 2) the real challenge to the government may be creating an environment where hospitals are committee to improve the quality of care.

 

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Corporate Affiliate Visiting Fellow, 2014-16
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Wataru Fukuda is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2014-15 and 2015-16.  He has worked for the Shizuoka Prefectural Government in Japan for over 10 years, representing Shizuoka, the "home of Mt. Fuji".  He has experience in both international and domestic marketing of tourism.  During his fellowship at Shorenstein APARC, his research will focus on inbound tourism, destination marketing and promotion.

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Shizuoka Prefectural Government
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Corporate Affiliate Visiting Fellow, 2015-16
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Huang (Catherine) Huang is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-16. Huang is the Founder and Managing Director of Beijing Shanghe Shiji Investment Co. Ltd. and has over 13 years of experience in private equity investment, equity/fund portfolio management and investment banking business.  Previously, she worked as Vice President at JP Morgan Securities in HK, Division Chief of equity investment at China Reinsurance Group and Portfolio Manager at CITIC Fund.  Huang received her EMBA degree from Peking University, Master of Economics from Tsinghua University and Bachelors of Finance & Literature from Xiamen University in China.

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Beijing Shanghe Shiji Investment Company
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Corporate Affiliate Visiting Fellow, 2015-16
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Yuichiro Muramatsu is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-16.  He started his career as a software engineer for Mitsubishi Electric Corporation, Tokyo, Japan.  Muramatsu has been engaged in system engineering designing and consulting tendency analysis for many companies, as well as bridge system engineering that brings and localizes the off-shore software product to Japan and aboard.  Muramatsu graduated from Chiba University with a B.S. in electric engineering.

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Mitsubishi Electric
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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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MissionCare
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In this session of the Corporate Affiliates Research Presentations, the following will be presented:

Yuta Aikawa, Ministry of Economy, Trade & Industry, Japan, "A Study About a Government Policy to Develop Defense Industry"

In April 2014, under consideration of the recent situation of international cooperation and developing defense equipment in the world, the government of Japan decided on the “Three Principles on Transfer of Defense Equipment and Technology”.  Additionally, the Acquisition, Technology and Logistics Agency was newly established in the Ministry of Defense (MOD) in October 2015, consolidating and reorganizing acquisition-related organization in the MOD to address the new age and duties.  These recent changes could have a big impact on the defense industry in Japan.  In his research, Aikawa tries to figure out how to develop the defense industry by looking at the situation in South Korea, whose government recently developed to export defense equipment to other countries.  Aikawa uses this example to illustrate implications for the government of Japan on the future of the defense industry.

 

Tsuzuri Sakamaki, MInistry of Finance, Japan, "What Impact Would the Ongoing Basel III Implementation Procedure Have on Banks' Value Creation and Risk Management?"

Basel III has been developed in response to the financial crisis that started in 2007 and reached one of its many peaks with the Lehman Brothers bankruptcy in September 2008.  The aim of the Basel Committee on Banking Supervision (BCBS) implementing Basel III is to make the banking system more resilient to market stress, but this new regulation inevitably limits the ability of banks to take deposits and lend money to the real economy.  Banks are also under constant pressure from their own shareholders who are providing them with equity capital to maximize the usage of the capital in order to achieve high returns for them.  With all these regulatory policy intensions and market economic constraints taken into account, Sakamaki has researched into whether the Basel III would indeed lead to increased stability of the banking system, or what possibly unintended negative consequences could develop in its implementation process.

 

Ravishankar Shivani, Reliance Life Sciences, "Pharmaceutical Process Validation — A Science and Risk-Based Approach to Evaluate Impact of Changes on Regulatory Filings"

Regional differences in regulatory oversight of post-approval changes exists in the ICH regions and there is an urgent need for clarification of current expectations and how best to optimize the use of relevant regulatory tools in place in the different regions.  The key aspects considered are 1) inclusion of risk-based regulatory commitment approach to enable post-approval changes and continual improvement,  2) establishing criteria for an harmonized risk-based change management system, and 3) introducing the concept of post-approval change management plan for regulatory overview. 

Shivani has researched the possibilities of changes to the attributes of a product over the life cycle that are necessary to maintain product quality and efficacy.  His research identifies the methodology for inclusion of the proposed changes during the development phase as commitments in dossiers to facilitate regulatory assessment. 

 


 

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Corporate Affiliate Visiting Fellow, 2015-16
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Yuta Aikawa 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 deputy director for policy making and implementation at the Government of Japan's Ministry of Economy, Trade & Industry (METI), where he was in charge of security export control, developing retail industry and consumer credit industry, and financial policy for small and medium companies.  Aikawa received his master's degree of science from the Graduate School of Science and Technology at Keio University in 2005.

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Ministry of Economy, Trade & Industry, Japan
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Corporate Affiliate Visiting Fellow, 2015-16
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Tsuzuri Sakamaki is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-16.  From 2008 to 2013, Sakamaki was a chief advisor seconded from Japan’s Ministry of Finance (MOF) to the State Bank of Vietnam (SBV) to carry out a technical assistance project to enhance the nation’s central bank’s banking supervision capacity.  During this time, Sakamaki instructed the SBV supervisors in methodologies and techniques regarding CAMELS off-site monitoring of the financial conditions of Vietnamese credit institutions and demonstrated Japan’s newly launched bank rating system (FIRST) to help the bank supervisors utilize the financial monitoring results and evaluate the banks’ risk management in an efficient and effective manner.   Prior to joining Shorenstein APARC, Sakamaki managed an office of MOF to oversee the development, implementation and maintenance of procedures and practices for measuring, monitoring and managing information security risk incurred by the MOF’s Local Finance Bureaus’ information systems and networks.

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Ministry of Finance, Japan
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Corporate Affiliate Visiting Fellow, 2015-16
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Ravishankar Shivani is a corporate affiliate visiting fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) for 2015-16.  Shivani has more than 16 years of experience in handling pharmaceuticals quality management systems and has been with Reliance Life Sciences Pvt. Ltd., India since 2007.  Currently, Shivani is Deputy General Manager in the Quality Management group and is accountable for pharmaceutical quality control and validation functions including laboratory controls, change control, deviation/OOS handling, process and cleaning validation, facility and equipment qualification, stability programs, technology transfer, investigations, documnetation control and supporting regulatory filing.  Prior to joining Reliance Life Sciences Pvt. Ltd., he worked in different capacities involving quality management with AstraZeneca Pharma India Limited, Wintac Limited and MicroLabs Limited at Bangalor.  Shivani received his post graduate degree in microbiology from Kuvempu University, Karnataka, India in 1998.

 

 

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Reliance Life Sciences
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Nearly 100 health economists from across the United States signed a pledge urging U.S. presidential candidates to make chronic disease a policy priority. Karen Eggleston, a scholar of comparative healthcare systems and director of Stanford’s Asia Health Policy Program, is one of the signatories. 

The pledge calls upon the candidates to reset the national healthcare agenda to better address chronic disease, which causes seven out of 10 deaths in America and affects the economy through lost productivity and disability.

Read the pledge below.

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The Walter H. Shorenstein Asia-Pacific Research Center (APARC), in pursuit of training the next generation of scholars on contemporary Asia, has selected three postdoctoral fellows for the 2016-17 academic year. The cohort includes two Shorenstein Postdoctoral Fellows and one Developing Asia Health Policy Fellow; they carry a broad range of interests from hospital reform to the economic consequences of elite politics in Asia.

The fellows will begin their year of academic study and research at Stanford this fall.

Shorenstein APARC has for more than a decade sponsored numerous junior scholars who come to the university to work closely with Stanford faculty, develop their dissertations for publication, participate in workshops and seminars, and present their research to the broader community. In 2007, the Asia Health Policy Program began its fellowship program to specifically support scholars undertaking comparative research on Asia health and healthcare policy.

The 2016-17 fellows’ bios and their research plans are listed below:


Shorenstein Postdoctoral Fellows

 

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Aditya "Adi" Dasgupta is completing his doctorate in the Department of Government at Harvard University. At Stanford, he will work on converting his dissertation on the historical decline of single-party dominance and transformation of distributive politics in India into a book manuscript. More broadly, his research interests include the comparative economic history of democratization and distributive politics in emerging welfare states, which he studies utilizing formal models and natural experiments. He received a Bachelor of Arts from Cambridge University and a Master of Science from Oxford University and has worked at the Public Defender Service in Washington D.C., his hometown.

 

 

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Dong Zhang is a political scientist whose research interests include political economy of development, with focus on the economic consequences of elite politics, and on the historical origins of long-run economic development. His dissertation examines the political logic of sustaining state capitalism model in weakly institutionalized countries with a primary focus on China. At Stanford, Zhang will develop his dissertation into a book manuscript and pursue other research projects on comparative political economy and authoritarian politics. He will receive his doctorate in political science from Northwestern University in 2016. Zhang holds bachelor’s degrees in public policy and economics, and a master’s degree in public policy from Peking University, Beijing.


Developing Asia Health Policy Postdoctoral Fellow

 

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Ngan Do is strongly interested in health system related issues, especially health financing, human resources for health, and health care service delivery. Do implemented comparison studies at regional level as well as participated in fieldwork in Cambodia, Lao, the Philippines, Korea and Vietnam. At Stanford, she will work on the public hospital reforms in Asia, focusing on dual practice of public hospital physicians and provider payment reforms. Do achieved her doctorate in health policy and management at the College of Medicine, Seoul National University. She earned her master’s degree in public policy at the KDI School of Public Policy and Management in Seoul, and her bachelor’s degree in international relations at the Diplomacy Academy of Vietnam (previously the Institute for International Relations).


 

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Universal Health Coverage (UHC) is a well-embraced policy goal in the 21th century, which aims to ensure financial risk protection while assuring access to quality care.  However, up to this date, out-of-pocket (OOP) payment remains the principal means of financing health care throughout much of Asia, which leaves people financially unprotected in the face of illness.  High OOP payment at point of service is likely to either make people become medically impoverished after paying for health care, or force people to forgo treatment needed, which is detrimental to one’s health.   This presentation is based on empirical results derived from EQUITAP  (Equity in Asia-Pacific Health Systems) Project II on catastrophic payment that aims to estimate the magnitude and distribution of OOP payments for health care in 23 countries and territories in the Asia-Pacific Region in 2007.  We also draw comparisons to the results in 2000 as changes arise due to various reforms implemented since 2000.

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Jui-fen Rachel Lu, is the Fulbright Visiting Scholar at the Center for East Asian Studies, Stanford University, and Professor in the Graduate Institute of Business and Management and Department of Health Care Management, College of Management, at Chang Gung University in Taiwan, where she teaches comparative health systems, health economics, and health care financing and has served as department chair (2000-2004), Associate Dean (2009-2010) and Dean of the College of Management (2010-2013).  She earned her B.S. from National Taiwan University, and her M.S. and Sc.D. from Harvard University, and she was also a Takemi Fellow at Harvard (2004-2005) and is an Honorary Professor at Hong Kong University (2007-2017). She cofounded the Taiwan Society of Health Economics (TaiSHE) in 2008 and is currently the President of TaiSHE (2014-2017).  Professor Lu also serves as a board director for the International Health Economics Association (iHEA) (2016) and a member of the Arrow Award Committee for iHEA (2014-2016).

Her research interests are in assessing the impact of the NHI program on health care markets and household consumption patterns, and comparative health systems in the Asia-Pacific region with a focus on equity performance.  She is a long-time and active member of the Equitap (Equity in Asia-Pacific Health Systems) research network.  Professor Lu has also been appointed to serve on several advisory boards to the Taiwan Ministry of Health and Welfare and National Health Insurance Administration, Ministry of Science and Technology.

She received the Minister Wang Jin Naw Memorial Award for Best Paper in Health Care Management in 2002 and was the recipient of the IBM Faculty Award in 2009.

Jui-fen Rachel Lu, Sc.D. Fulbright Visiting Scholar, Center for East Asian Studies, Stanford University
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