Governing Informal Payments by Market in the Chinese Healthcare System

Yang, J

Governing Informal Payments by Market in the Chinese Healthcare System

Yang, J

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Publisher:: Palgrave Macmillan
Publication Type:: Chapter
Citation:: The Informal Economy in Global Perspective: Varieties of Governance, 2017, pp. 233 - 254
Issue Date:: 2017-05-17

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Field	Value	Language
dc.contributor.author	Yang, J https://orcid.org/0000-0002-7507-6929	en_US
dc.contributor.editor	Polese, A	en_US
dc.contributor.editor	Williams, C	en_US
dc.contributor.editor	Horodnic, I	en_US
dc.contributor.editor	Bejakovic, P	en_US
dc.date.available	2020-05-25T19:06:49Z
dc.date.issued	2017-05-17	en_US
dc.identifier.citation	The Informal Economy in Global Perspective: Varieties of Governance, 2017, pp. 233 - 254	en_US
dc.identifier.isbn	3319409301	en_US
dc.identifier.isbn	9783319409306	en_US
dc.identifier.uri	http://hdl.handle.net/10453/93901
dc.description.abstract	Informal payments are an illegitimate practice that has been endemic in the Chinese healthcare system for decades. This chapter examines two market mechanisms that the government has used to contain it, namely, internal competition and differential pricing. It reveals that due to market failures, internal competition pushed up the demand for the services of elite practitioners and led to the concentration of informal payments in their hands. Differential pricing not only concentrated informal payments in the hands of senior surgeons, but also exacerbated health inequality and subverted the government’s ideological commitment to social justice. Both mechanisms did not achieve the purpose of controlling informal payments and have been abandoned either by hospitals or by the government.	en_US
dc.publisher	Palgrave Macmillan	en_US
dc.relation.ispartof	The Informal Economy in Global Perspective: Varieties of Governance	en_US
dc.relation.isbasedon	10.1007/978-3-319-40931-3_13	en_US
dc.title	Governing Informal Payments by Market in the Chinese Healthcare System	en_US
dc.type	Chapter
utslib.location	USA	en_US
utslib.for	1606 Political Science	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences
utslib.copyright.status	open_access	*
pubs.consider-herdc	true	en_US
pubs.place-of-publication	USA	en_US
pubs.publication-status	Published online	en_US

Abstract:

Informal payments are an illegitimate practice that has been endemic in the Chinese healthcare system for decades. This chapter examines two market mechanisms that the government has used to contain it, namely, internal competition and differential pricing. It reveals that due to market failures, internal competition pushed up the demand for the services of elite practitioners and led to the concentration of informal payments in their hands. Differential pricing not only concentrated informal payments in the hands of senior surgeons, but also exacerbated health inequality and subverted the government’s ideological commitment to social justice. Both mechanisms did not achieve the purpose of controlling informal payments and have been abandoned either by hospitals or by the government.

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http://hdl.handle.net/10453/93901