New Publication: Community governance during the Shanghai COVID lockdown II: Bridging neighborhood cohesion and the perception of community governance

Abstract Social cohesion within neighborhoods significantly influences community governance. Residents in cohesive neighborhoods tend to engage more actively and express greater satisfaction with governance. The COVID-19 pandemic poses challenges to governance at national and local levels, particularly evident in China, where neighborhoods play a vital role in the pandemic response. However, the impact of cohesion on community-level governance satisfaction remains unclear. This study develops a theoretical framework based on social…

New Publication: How hospital autonomy affects provider payment reform effectiveness

Summary Background: Provider payment reforms (PPRs) have demonstrated mixed results for improving health system efficiency. Since PPRs require health care organisations to interpret and implement policies, the organizational characteristics of hospitals may affect the effectiveness of PPRs. Hospitals with more autonomy have the flexibility to respond to PPRs more efficiently, but they may not if the autonomy previously facilitated behaviours that counter the PPR’s objective. This study examines whether hospitals with…

New Publication: Community governance during the Shanghai COVID-19 lockdown I: the roles and actions of residents’ committees

Abstract Residents’ committees (RCs) are crucial in China’s “dynamic zero-COVID” policy. They were at the frontline of combating the pandemic yet received wide criticism, drawing controversies to their roles and actions as grassroots organizations or extensions of state control. To further understand RCs in China’s community governance, this research conceptualizes RCs as street-level bureaucrats (SLBs), capable of exercising discretion and policy entrepreneurship, and argues that RCs are the “intermediary space”…

New Publication: Innovative approaches of measuring care quality in China’s market for telemedicine

Around the world, the adoption of telemedicine has not only skyrocketed following the onset of the COVID-19 pandemic, but also has become an increasingly important part of health systems globally. This is particularly true in China where even before the pandemic, the government had already been promoting “internet hospitals” and there is a rapidly growing market of “direct-to-consumer” (DTC) teleconsultation provided through private third-party platforms. As countries transition into a…

Winnie Yip and William Hsiao Speak at the Harvard College China Forum

The 2024 Harvard College China Forum (HCCF) invited Professors Winnie Yip and William Hsiao to speak on the current trends, challenges, reforms, and potential areas of collaborations between the healthcare systems in China and the United States. Professor Yip delivered the opening remarks for the panel, “Public Health and Healthcare: Economic Policy in the Era of Global Health”. The discussion delved into pressing topics including what the key drivers behind…

New Publication: Dynamic effects of the COVID-19 pandemic on the demand for telemedicine services: Evidence from China

Abstract The COVID-19 pandemic has accelerated the adoption of telemedicine worldwide. Understanding how demand for telemedicine services expands during and after the pandemic is important in assessing its sustainability into the future. This study uses detailed transaction data from one of China’s largest online healthcare platforms to examine the effect of the COVID-19 pandemic on the demand for telemedicine services in China, and the dynamics of this demand. We empirically…

New Publication: The uneven distribution of medical resources for severe diseases in China: An analysis of the disparity in inter-city patient mobility

Abstract The uneven distribution of medical resources in China has been a persistent concern. This is particularly evident among patients with severe diseases, who often seek better medical resources, resulting in inter-city patient mobility. This research aims to analyze the uneven distribution of medical resources for these patients in China, focusing on their inter-city mobility patterns. Using patients’ information (n = 202,817) collected from a nationwide severe disease mutual aid platform in…

New Publication: Association between health insurance cost-sharing and choice of hospital tier for cardiovascular diseases in China: a prospective cohort study

Summary Background Hospitals in China are classified into tiers (1, 2 or 3), with the largest (tier 3) having more equipment and specialist staff. Differential health insurance cost-sharing by hospital tier (lower deductibles and higher reimbursement rates in lower tiers) was introduced to reduce overcrowding in higher tier hospitals, promote use of lower tier hospitals, and limit escalating healthcare costs. However, little is known about the effects of differential cost-sharing…

How China’s Medical Anti-Corruption Crackdown is Unfolding

An article by The Wire China, “A Crackdown Comes for Healthcare,” discusses how China’s campaign to crack down on medical corruption across its healthcare sector is unfolding—now over half a year since the campaign launched—and what underlying issues remain unaddressed. Dr. Winnie Yip, who co-authored a study published last year on medical corruption in China, is among the experts who shared their insights. Dr. Yip describes the market-driven nature of…

New Publication: Financing and provision of healthcare for two billion people in low-income nations: Is the cooperative healthcare model a solution?

Abstract The international consensus in support of universal health coverage (UHC), though commendable, thus far lacks a clear mechanism to finance and deliver accessible and effective basic healthcare to the two billion rural residents and informal workers of low- and lower-middle-income countries (LLMICs). Importantly, the two preferred financing modes for UHC, general tax revenue and social health insurance, are often infeasible for LLMICs. We identify from historical examples a community-based model that…