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Case-based payment system in the chinese healthcare sector and its ethical tensions cover


Jin, Pingyue; Biller-Andorno, Nikola; Wild, Verina (2013). Case-based payment system in the chinese healthcare sector and its ethical tensions cover. Asian Bioethics Review, 5(2):131-146.

Abstract

The introduction of Diagnosis Related Groups (DRGs) as a prospective payment system in many high-income countries has been accompanied by ongoing debates on how to both ethically and efficiently allocate health care resources. China has recently introduced a similar payment system for cost control, namely the case-based payment system. But the existing ethical analysis of case-based payment in the Chinese literature is scarce and implicit.
This paper aims at preparing the grounds for a discussion of the ethical implications of case-based payment in China. We first provide a brief overview of the health care system in China. Then we describe the case-based payment system as currently being implemented and situate it in the context. In the following part, we compare various types of case-based payment and DRGs with a view to their ethical implications. In the end, we present a short review of empirical studies on the effects of case-based payment in China, which will contribute to inform the ethical discussion.

Abstract

The introduction of Diagnosis Related Groups (DRGs) as a prospective payment system in many high-income countries has been accompanied by ongoing debates on how to both ethically and efficiently allocate health care resources. China has recently introduced a similar payment system for cost control, namely the case-based payment system. But the existing ethical analysis of case-based payment in the Chinese literature is scarce and implicit.
This paper aims at preparing the grounds for a discussion of the ethical implications of case-based payment in China. We first provide a brief overview of the health care system in China. Then we describe the case-based payment system as currently being implemented and situate it in the context. In the following part, we compare various types of case-based payment and DRGs with a view to their ethical implications. In the end, we present a short review of empirical studies on the effects of case-based payment in China, which will contribute to inform the ethical discussion.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Biomedical Ethics and History of Medicine
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:June 2013
Deposited On:10 Feb 2014 11:52
Last Modified:08 Dec 2017 02:43
Publisher:N U S Press Pte. Ltd.
ISSN:1793-8759
Official URL:http://www.asianbioethicsreview.com/journal/index.php?journal=abr_sbc1&page=article&op=view&path[]=249

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