Rural public hospitals in change in transitional Asia: institutional influences on performance

Objective

This project is the first systematic study of the impact on rural hospital performance of institutional arrangements associated with China and Cambodia's transition to a market economy. Hospital costs have risen sharply in China and service quality is variable. In both countries there are significant financial , barriers to access to care and the cost of major illness is an important cause of poverty. The performance of hospitals varies a great deal. This is partly due to issues of funding, but we hypothesise that ownership structures , mechanisms of governance and accountability, incentives and formal and informal behavioural norms are important. The project consists of detailed hospital case studies that explore the influence of these factors on objective measures of performance The aims are to contribute to the formulation of realistic strategies for reform of hospital management and government regulation.

Programme(s)

• FP5-INCO 2 - Programme for research, technological development and demonstration on "Confirming the international role of Community research,1998-2002"

Topic(s)

• 1.2.1.-1.4. - Research for development

Funding Scheme

CSC - Cost-sharing contracts

Coordinator

INSTITUTE OF DEVELOPMENT STUDIES

Address

University Of Sussex
Brighton - Falmer
United Kingdom

Participants (3)

CHINA HEALTH ECONOMICS INSTITUTE

China

Address

Xue-yuan Road 38, Hai Dian District
100083 Beijing

INSTITUTE OF TROPICAL MEDICINE PRINCE LEOPOLD

Belgium

Address

Nationalestraat 155
2000 Anvers /Antwerpen

NATIONAL INSTITUTE OF PUBLIC HEALTH

Cambodia

Address

Kim Ii Sung Blvd
Phnom Penh