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SPP 501

Title: CHINESE STRATEGIES FOR GETTING HEALTH CARE: GUANXI AND ITS ALTERNATIVES
 
Author: Neil Munro
 
Description: Chinese citizens are accustomed to dealing with risk and making choices about how to get things done. Such choices are evident in popular responses to hypothetical situations corresponding to three typical unethical practices in Chinese hospitals: overprescribing medicines not covered by insurance, encouraging patients to take unnecessary diagnostic tests, and taking bribes (“red envelopes” or hong bao) for treatment which has already formally been paid for. Using nationally representative survey data, this study examines public perceptions of the likelihood of encountering these practices in local county or district hospitals as well as preferences between different strategies for dealing with them. We develop and test hypotheses about the social structural determinants of preferred strategies: focussing on urban versus rural contexts, level of development, gender, age, education and income. The conclusion considers the implications of the findings for policies designed to mitigate unethical practices.

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Postal Address:    CSPP Publications, University of Strathclyde, Glasgow, G1 1XQ, UK

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CSPP School of Government & Public Policy U. of Strathclyde Glasgow G1 1XQ Scotland
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