Chinese-Style Decentralization and Health System Reform

Chinese-Style Decentralization and Health System Reform

1 Nossal Institute for Global Health, University of Melbourne, Melbourne, Australia, 2 UNICEF Office for China, Beijing, People’s Republic of China, 3 Department of Health Policy and Administration, School of Public Health, Peking University, Beijing, People’s Republic of China, 4 Department of Health Statistics and Social Medicine, Fudan University School of Public Health, Shanghai, People’s R...

Fiscal Decentralization, Chinese Style: Good for Health Outcomes?

— This study analyzes the effect of fiscal decentralization on health outcomes in China using a panel data set with nationwide county-level fiscal data. We find that more fiscally decentralized provinces have lower infant mortality rates than provinces that are the main spending authority, if certain conditions are met. Key among those conditions are the county governments’ own fiscal capacity ...

Insights for Implementers Decentralization and Health System Reform

D is pursued for a variety of reasons: technical, political, and financial. On the technical side, it is frequently recommended as a means to improve administrative and service delivery effectiveness. Politically, decentralization usually seeks to increase local participation and autonomy, redistribute power, and reduce ethnic and/or regional tensions. On the financial side, decentralization is...

Health reform, Italian-style.

Health system reform and political participation on the Chinese Internet

Authoritarian regimes, such as the Chinese Communist Party (CCP), seek to bolster legitimacy by facilitating communications between citizens and government officials. This article investigates the operation of online consultation, a process through which citizens offer feedback on draft laws and regulations. The article specifically examines the importance of demographic characteristics and sub...