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.
Funding SchemeCSC - Cost-sharing contracts
2000 Anvers /Antwerpen