ABSTRACT

In this chapter, the study endeavors to examine on how policy actors employed institutional and managerial tools for the purpose of allocation of health care resources, and provision of health care services. More importantly, the chapter focuses on the issue regarding what are their novel institutional and managerial designs dealing with resource management at both the micro and macro level. The study will be first devoted to the issues of restoration of organization and management in the aftermath of Mao. And the second step will examine, in broad outline, those reform attempts that have been most active and visible at the institutional and managerial level in regard to three policy arenas: care delivery and revenue-generating activities at the providing unit level that commenced in 1985 and 1988, the installation of basic medical care insurance at the county/municipal level that was initiated in 1994 and formally launched in 2001, and planning and deployment of health care resources at the municipal level and above that was first advocated in 1997 and reaffirmed in 2000 and beyond.