Essays on healthcare financing
10 July 2018
University of Antwerp, Promotiezaal Grauwzusters - Lange SInt-Annastraat 7 - 2000 Antwerp (route: UAntwerpen, Stadscampus
Zhang Ying (Sara)
Prof Jacques Vanneste
PhD defence Zhang Ying (Sara) - Faculty of Applied Economics
This thesis focuses on healthcare financing, a cornerstone of health systems, in both the developed and the emerging world.
Public financing, private prepayments or out-of-pocket (OOP) payments, which financing system is desirable for an individual or a government to choose? This choice significantly shapes the quantity and quality of healthcare individuals and families could receive and how much managing, monitoring and evaluating a government will take in charge. Moreover, it influences the consumption and saving accounts of each household, as well as the development and long-term growth of a nation’s productivity and economy.
This thesis addresses four key issues in healthcare financing. First, what is the current performance of the health system and the healthcare financing in China, the world’s most populous country? Second, since governments are considered as decisive drivers of a health system, what is their impact on the growth of prepayment in OECD-member countries? Third, facing the ever-rising healthcare expenditure and the tense physician-patient relationship in China, could managed care provide a possible solution? Fourth, to help relieve the pressure of catastrophic medical expenses on individuals, can we establish an effective and sustainable model for critical illness insurance? This dissertation answers these questions and provides our new insights on the different healthcare financing approaches in economies with rapid increased healthcare spending.