2026-07-01http://hdl.handle.net/123456789/416885The authors report the results of a review of the Chinese-language and English-language literatures on service delivery in China, asking how well China's health care providers perform, what determines their performance, and how the government can improve it. They find current performance leaves room for improvement in terms of quality, responsiveness to patients, efficiency, cost escalation, and equity. The literature suggests that these problems will not be solved by simply shifting ownership to the private sector, or by simply encouraging providers-public and private-to compete with one another for individual patients. In contrast, substantial improvements could be (and in some places have already been) made by changing the way providers are paid-shifting away from fee-for-service and the distorted price schedule toward prospective payments. Active purchasing by insurers could further improve outcomes.application/pdftext/plainCC BY 3.0 IGOhttp://creativecommons.org/licenses/by/3.0/igo/World BankBASIC HEALTH SERVICESBEDSCAPITATIONCAPITATION PAYMENTCERTIFICATIONCHILD HEALTHCITIESCLINICAL CARECLINICSCOMPARISONS OF HEALTH EXPENDITURECOMPETITION AMONG PROVIDERSCOSTS OF CAREDELIVERY OF HEALTH CAREDELIVERY OF HEALTH CARE SERVICESDELIVERY SYSTEMDEMAND FOR HEALTHDEMAND FOR HEALTH CAREDIAGNOSISDOCTORSDRUG ADMINISTRATIONDRUGSEXPENDITURE CONTROLEXPENDITURESFAMILIESFAMILY PLANNINGFEE SCHEDULEFEE-FOR-SERVICEGROWTH OF HEALTH SPENDINGHEALTH CAREHEALTH CARE COSTSHEALTH CARE INSTITUTIONSHEALTH CARE MANAGEMENTHEALTH CARE PROVIDERSHEALTH CARE QUALITYHEALTH CARE SECTORHEALTH CENTERSHEALTH CONSEQUENCESHEALTH ECONOMICSHEALTH FACILITIESHEALTH INSURANCEHEALTH INSURANCE SCHEMEHEALTH INSURANCE SCHEMESHEALTH INSURERSHEALTH INTERVENTIONSHEALTH MANAGEMENTHEALTH OUTCOMESHEALTH PLANNINGHEALTH PLANSHEALTH POLICYHEALTH PROGRAMSHEALTH PROVIDERSHEALTH REFORMHEALTH RESOURCESHEALTH SECTORHEALTH SERVICEHEALTH SERVICESHEALTH SPENDINGHEALTH SYSTEMHEALTH SYSTEMSHEALTH WORKERSHEALTH WORKFORCEHEALTH-CAREHEALTH-CARE SYSTEMSHIGH SCHOOL EDUCATIONHOME VISITSHOSPITALHOSPITAL INPATIENTHOSPITAL MANAGEMENTHOSPITAL MANAGERSHOSPITALSINCOME GROUPSINEQUITIESINFECTIOUS DISEASESINFORMATION ASYMMETRIESINSURANCE SYSTEMINSURERSINTERNATIONAL COMPARISONSINTERVENTIONLABOR MARKETMALARIAMANAGEMENT SYSTEMSMARKET FAILURESMEDICAL ASSOCIATIONMEDICAL COLLEGEMEDICAL EQUIPMENTMEDICAL EXPENDITUREMEDICAL EXPENDITURESMEDICAL INSURANCEMEDICAL PERSONNELMEDICAL PROCEDURESMEDICAL SERVICESMEDICAL SKILLSMEDICAL TRAININGMEDICAREMODERN MEDICINEMORTALITYNATIONAL ACTIONSNATIONAL HEALTHNURSESNUTRITIONNUTRITION PROGRAMSOLD SYSTEMOUTPATIENT CAREPATIENTPATIENT OUTCOMESPATIENT SATISFACTIONPATIENTSPERSONAL COMMUNICATIONPERSONNEL POLICIESPHYSICIANSPOCKET PAYMENTSPOLICY DOCUMENTPOLICY RESEARCHPOLICY RESEARCH WORKING PAPERPOOR FAMILIESPOOR PEOPLEPRACTITIONERSPRESCRIPTIONSPRICE CONTROLPRIMARY HEALTH CAREPRISONSPRIVATE INSURERSPRIVATE SECTORPROGRESSPROVIDER INCENTIVESPUBLIC HEALTHPUBLIC HOSPITALSPUBLIC PROVIDERSQUALITY ASSURANCEQUALITY CONTROLQUALITY OF CARERATE OF GROWTHREFERRAL SYSTEMREIMBURSEMENT RATESREPRODUCTIVE HEALTHREPRODUCTIVE HEALTH PROGRAMSRURAL AREASRURAL HEALTH CARESERVICE DELIVERYSOCIAL INSURANCESOCIAL SCIENCESOCIAL SECURITYURBAN AREASVISITSWASTEWORKERSWORLD HEALTH ORGANIZATION