Reform of the welfare sector is an important yet difficult challenge for countries in transition from socialist central planning to market-oriented democracies. Here a scholar of the economics of socialism and post-socialist transition, and a health economist take on this challenge. They offer health sector reform recommendations for ten countries of Eastern Europe, drawn from nine guiding principles. The authors conclude that policymakers need to achieve a balance, both assuring social solidarity through universal access to basic health services and expanding individual choice and responsibility through voluntary supplemental insurance.

Welfare, Choice and Solidarity in Transition: Reforming the Health Sector in Eastern Europe (Federico Caffè Lectures)

Business & Money

Kornai, János

Eggleston, Karen

Economics

Cambridge University Press

The Dragon, the Eagle, and the Private Sector

The governments of China and the United States - despite profound differences in history, culture, economic structure, and political ideology - both engage the private sector in the pursuit of public value. This book employs the term collaborative governance to describe relationships where neither the public nor private party is fully in control, arguing that such shared discretion is needed to deliver value to citizens. This concept is exemplified across a wide range of policy arenas, such as constructing high speed rail, hosting the Olympics, building human capital, and managing the healthcare system. This book will help decision-makers apply the principles of collaborative governance to effectively serve the public, and will enable China and the United States to learn from each other's experiences. It will empower public decision-makers to more wisely engage the private sector. The book's overarching conclusion is that transparency is the key to the legitimate growth of collaborative governance.

The Dragon, the Eagle, and the Private Sector: Public-Private Collaboration in China and the United States

Donahue, John D.

Zeckhauser, Richard J.

Pharmaceutical policies are interlinked globally, yet deeply rooted in local culture. Prescribing Cultures examines how pharmaceuticals and their regulation play an important and often contentious role in the health systems of the Asia-Pacific.
 The first section of this timely book—which includes a foreword by Michael Reich of Harvard University—addresses pharmaceutical policy in China, Korea, Japan, Thailand, Taiwan, Australia, and India. The second section focuses on two crosscutting themes: differences in "prescribing cultures," especially among physicians, who are the primary dispensers of medicine in Asia, and the challenge of balancing access to drugs with incentives for innovation.
 The book's contributors discuss important issues for U.S. policy, notably drug imports from Asia, regulation of global supply chains to assure drug safety and quality, and new legislation to encourage development of drugs for neglected diseases. In Prescribing Cultures, pharmaceutical policy serves as a window into the economic trade-offs, political compromises, and cultural legacies that shape regional and global health systems.

Prescribing Cultures and Pharmaceutical Policy in the Asia-Pacific

Politics & Social Sciences

Sociology

Walter H. Shorenstein Asia-Pacific Research Center

How are health systems in Asia promoting evidencebased policies for healthy aging? What strategies have been tried to prevent noncommunicable chronic diseases, screen for early detection, raise quality of care, improve medication adherence, reduce unnecessary hospitalizations, and increase “value for money” in health spending?
The chapters of this book contribute to the literature on how diverse economies of Asia are preparing for older population age structures and transforming health systems to support patients who will live with chronic disease for decades. Fifteen concise chapters cover multiple aspects of policy initiatives for healthy aging and economic research on diabetes and hypertension control in health systems as diverse as cities such as Singapore and Hong Kong, to large economies such as Japan, India, and China. Topics include precision health and personalized medicine in Japan; China’s evolving family doctor system and its national demonstration areas for chronic disease control; cancer disparities and public private roles in Taiwan; and policies for healthy aging in Korea and India. Several chapters draw on research led by the Stanford Asia Health Policy Program on the net value of chronic disease management programs throughout Asia, starting with analysis of detailed longitudinal, patientlevel data on diabetes management as a lens for understanding the net value of medical spending for patients with complicated chronic diseases across diverse health systems.

Healthy Aging in Asia

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Books by Eggleston, Karen