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Healthcare systems are increasingly recognised as complex, in which a range of non-linear and emergent behaviours occur. China’s healthcare system is no exception. The hugeness of China, and the variation in conditions in different jurisdictions present very substantial challenges to reformers, and militate against adopting one-size-fits-all policy solutions. As a consequence, approaches to change management in China have frequently emphasised the importance of sub-national experimentation,...
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There are increasing criticisms of dominant models for scaling up health systems in developing countries and a recognition that approaches are needed that better take into account the complexity of health interventions. Since Reform and Opening in the late 1970s, Chinese government has managed complex, rapid and intersecting reforms across many policy areas. As with reforms in other policy areas, reform of the health system has been through a process of trial and error. There is increasing...
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Before markets opened in 1978, China was an impoverished planned economy governed by a Maoist bureaucracy. In just three decades it evolved into the world's second-largest economy and is today guided by highly entrepreneurial bureaucrats. In How China Escaped the Poverty Trap, Yuen Yuen Ang explains this astonishing metamorphosis. Rather than insist that either strong institutions of good governance foster markets or that growth enables good governance, Ang lays out a new, dynamic framework...
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How have local governments in China been able to break through central policy restrictions in a unitary and authoritarian political system? Why is China's official discourse in the reform era often so conservative and unfavorable to reform? The author argues the two issues are components of a signaling game between China's central government and local officials, in which local officials know that the center may be reformist, but the reformist center imitates the rhetoric of a conservative...
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Anna L. Ahlers and Gunter Schubert, ’Adaptive Authoritarianism’ in Contemporary China: Identifying Zones of Legitimacy Building, in: Deng Zhenglai and Guo Sujian (eds), Reviving Legitimacy: Lessons for and from China, Lanham: Lexington Books (2011),
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Dr Joseph Needham's account of the Chinese achievement in science and technology will stand as one of the great works of our time. It has been acclaimed by specialists in both East and West and also by readers with wider and more general interests. The text, based on research of a high critical quality, is supported by many hundreds of illustrations and is imbued with a warm appreciation of China. Volume I is an introductory volume, in which Dr Needham prepares his readers for the study of a...
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