Towards a fair and accountable health policy making: assessment on the decision-making process of the Chinese healthcare reform
by Yi Wei; Ziyu Liu
International Journal of Society Systems Science (IJSSS), Vol. 11, No. 4, 2019

Abstract: In recent years, the Chinese healthcare system has generally performed its tasks well, but has been facing considerable challenges, such as rapidly ageing population and the increasing burden of non-communicable diseases which indicate that the Chinese healthcare system is at a crossroads that demands a reconsideration of its policies and decision-making process. This study focuses on how to build a fair decision-making process based on the conviction that procedural justice is of vital importance in achieving the legitimacy of any substantive outcome. We employ the four conditions of the 'accountability of reasonableness' framework as benchmarks to evaluate China's decision-making process from the year of 2006 to 2009 and explore the flaws and deficiencies of the current path-dependent healthcare system reform. Our study shows that China's healthcare system suffers from poor information disclosure, inadequate public participation, insufficient appeal processes, and multi-leadership. Given those imperfections, the paper provides several recommendations for improving China's healthcare decision-making process.

Online publication date: Fri, 15-Nov-2019

The full text of this article is only available to individual subscribers or to users at subscribing institutions.

 
Existing subscribers:
Go to Inderscience Online Journals to access the Full Text of this article.

Pay per view:
If you are not a subscriber and you just want to read the full contents of this article, buy online access here.

Complimentary Subscribers, Editors or Members of the Editorial Board of the International Journal of Society Systems Science (IJSSS):
Login with your Inderscience username and password:

Username:        Password:          Forgotten your password?

Want to subscribe?
A subscription gives you complete access to all articles in the current issue, as well as to all articles in the previous three years (where applicable). See our Orders page to subscribe.

If you still need assistance, please email subs@inderscience.com