Balancing Efficiency and Legitimacy
Institutional Changes and Rural Health Organization in China
Bibliographic Data
| ID | 11198067 |
|---|---|
| Authors | Xiaomei Pei (0000-0002-1861-3871, Tsinghua University, corresponding author), Gerald Bloom (0000-0002-7047-2412, Institute of Development Studies, corresponding author) |
| Year | 2011 |
| Volume | 45 |
| Issue | 6 |
| Pages | 662-677 |
| Publication date | 2011-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Policy and Administration (JOURNAL) |
| Journal identifiers | ISSN: 0144-5596 • E-ISSN: 1467-9515 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1467-9515.2011.00801.x |
| OpenAlex | W2119235547 |
| Language | EN |
| Citations received | 3 |
| References cited | 26 |
The aim of this article is to contribute to the understanding of the institutional arrangements within which China's rural health facilities are embedded and of the contribution of policy to the creation of these arrangements. Information collected through field observations and in‐depth interviews with the managers, staff and patients of a township health centre indicates that with the gradual evolution of markets, encouraged by state policies, health care in rural China took on more of the characteristics of a commodity. In order to adapt to this change, the health centre and its employees are adjusting their behavioural norms and reconstructing an institutional network within which daily activities of simultaneously fulfilling public health responsibilities and pursuing economic gain are legitimized. This article focuses on the interwoven relationship between politics and markets at the micro level and examines the negotiations between stakeholders in constructing new institutional arrangements. It also describes how health sector managers are creating regulations to influence the performance of their facility. The article argues that while government policies play a crucial role in shaping the direction of development, institutional arrangements strongly influence the attempts by rural health organizations to implement them. It concludes that it is critical to take institutional factors into account in analyzing China's rural health‐care reforms
Business · China · Commodity · Economic growth · Economics · Government (linguistics · Health care · Legitimacy · Negotiation · Order (exchange · Political science · Politics · Public relations · Rural health · Demographic Trends and Gender Preferences · Global Maternal and Child Health · Healthcare Systems and Reforms · Public Administration
Institutions and organizations
The New Institutionalism in Organizational Analysis
The new cooperative medical scheme in China
Extending health insurance to the rural population
Overcoming health-systems constraints to achieve the Millennium Development Goals
The New Cooperative Medical Scheme in rural China
The Chinese Health System At A Crossroads
The Development of Quasi-Markets in Welfare Provision in the United Kingdom
Social policy in ChinaDevelopment and well-being
Marketization and income distribution in urban China, 1988 and 1995
Good and Bad News from China's New Cooperative Medical Scheme
External Constraints on Local Service Standards
A Theory of Market Transition
Market Transition and the Persistence of Power
Non-evidence-based policy
Building institutions for an effective health system
Politics and Markets
Institutionalized Organizations
Economic Transformation and Income Inequality in Urban China
More Shock than Therapy
| Citations per year | 0.23 |
|---|---|
| Citation span | 2013 - 2024 (12) |
| Highly cited | No |