National Health Systems
Comparing health systems across industrialized nations, the research team applies political and economic theories to develop a structural framework of essential elements of health systems. Dr. Hsiao and his team use econometric models to test various hypotheses and to estimate the extent to which each structural element influences health expenditures and health status. Employing his systemic framework, Hsiao has assisted many countries including Taiwan, Cyprus, Mexico, Colombia, China, and Sweden in their health systems reforms.
William Hsiao coauthored “Social Health Insurance for Developing Nations” with Paul Shaw. This monograph fills a gap in the social health insurance (SHI) literature in its focus on the design and implementation of SHI in five low income countries – including the challenges, opportunities, and bottlenecks – and what this means for designing successful SHI strategies in the future.
In dozens of developing countries, special technical groups are busy advising Ministers of Health, Ministers of Finance, Vice-Presidents and Presidents on the feasibility of SHI as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. Yet, evidence and “how-to” guides on the aims, design and implementation of SHI derives largely from relatively rich, developed countries. Such countries can be sharply distinguished from low income, developing countries in terms of relatively high per capita expenditures on health, large urban/formal sectors, relatively low dependency ratios, ample administrative know-how, and diversified provider markets that can serve and satisfy clients. In contrast, evidence on the design and implementation of SHI in developing countries is hard to come by. This is precisely the reason for this book.