Managed care systems in the people's republic of china

This article attempts to determine whether or not managed care is the way forward for health services systems reforms in urban China. It first highlights the problems of the present Chinese urban health care financing system, which is largely based on third party fee-for-service reimbursement. It then analyses the salient features of three existing managed care systems in China -private plans, plans under the existing public and labor medical insurance systems, and the newly introduced pilot Employees Medical Insurance Scheme. Available evidence tend to suggest that all of them have been quite effective in controlling cost escalation, and that there have been some improvement in terms of equity under the new Employees Medical Insurance Scheme.     

Perspectives on management in the people's republic of china

This paper provides perspectives on management in China, focusing primarily on industrial enterprises and secondarily on government. Among the challenges to management in the Chinese context presented is the maintenance of labor motivation during a period of rapid modernization through incorporation of capitalist-oriented economic and wage incentives. Chinese, Japanese and American styles of management and worker participation are examined briefly. The paper concludes with a discussion of the need for better management education and training and improved health and safety regulation in China.     

Environmental attitudes and concerns of the environmental protection bureaucrats in guangzhou,people's republic of china: Implications for environmental policy implementation

This article analyzes the questions of implementation failure in environmental policy in China. Using empirical data collected in Guangzhou, People's Republic of China, die article documents the environmental attitude of Guangzhou's Environmental Protection bureaucrats. In interpreting the data, the article seeks to assess and evaluate the present state of environmental administration in China. This article provides evidence that although China has made much progress in developing environmental legislation and a regulatory framework, the economic growth and devolution of power unleashed by reforms have also created new environmental stresses and, to some extent, reduced the regulatory capabilities of governments in China.     

Health strategy and development planning: Lessons from the people's republic of China

In Section I of this paper we present an analytical paradigm by which to evaluate health and medical care services in underdeveloped countries. In Section II, we apply this framework to an analysis of the health policies of one developing country, China. In Section III, we evaluate the Chinese health and medical care policies within the framework of a cost‐benefit analysis and argue that these policies are appropriate to China's factor proportions and health needs. Finally, in Section IV, we raise a number of questions to be considered in any more detailed studies on the transferring of the Chinese services to other developing countries.     

Democratization and bureaucratic restructuring in Taiwan

Taiwan has been moving toward democracy, with a dramatic transition taking place in the past decade. Critical to this transition is a restructuring of the relationship between the state bureaucracy and society. This study focuses on democratization's effect on Taiwan's bureaucracy. In particular, it seeks to examine such aspects of bureaucratic transformation as bureaucratic decisionmaking, legislative-bureaucratic politics, interest group-bureaucratic relations, the expansion of local autonomy, and civil service reform. This study finds that the bureaucratic state is facing a great challenge from political, legislative, and societal forces. The old type of insulated bureaucratic planning and decision making is no longer possible, the bureaucracy is losing its KMT patrons, and bureaucrats are finding themselves answerable to political pressure, legislative oversight, and interest group lobbying. While the bureaucracy has lost its previous level of discretion in terms of macro-management and the formulation of developmental policies, the bureaucratic state has not withered away. Qingshan Tan is Associate Professor of Chinese and East Asian politics and Director of the International Relations Program in the Department of Political Science at Cleveland State University. His recent publications are on issues of democratization in Taiwan and China.     

Democracy,economic crisis and the problem of governance: The case of Bolivia

This article examines the political context within which the Bolivian government of Víctor Paz Estenssoro (1985–1989) launched, implemented, and sustained a draconian neoliberal economic stabilization program. The article argues that the key to the successful economic program was the political skill and leadership of President Paz, in particular, his ability to negotiate a political pact with the main opposition party. Finally, the article ponders the tensions and contradictions between neoliberal economic policies and the process of consolidating democracy in a context of extreme economic crisis. James M. Malloy is professor of political science and research professor, University Center for International Studies, University of Pittsburgh, Pittsburgh, PA 15260. He is the author of a number of books and articles on Latin America politics, includingAuthoritarians and Democrats: Regime Transition in Latin America (University of Pittsburgh Press, 1987). He is presently working on issues of regime transition, economic adjustment, and the role of private sector interest groups in Latin America.     

Organizational ethics and bureaucratic corruption in Chinese school

This paper takes issue with a central theme in the literature on corruption that a centralized bureaucratic structure necessarily promotes corruption. It argues that the growth of corruption after 1976 was not so much the result of a centralized bureaucratic structure as that of the changing organizational ethics in the schools. In an examination of the schools since 1949, it shows that their structures have not changed radically. But by separating the organizational ethics into their real and ideal dimensions, it demonstrates that despite the continuity in the official goals and codes of ethics, the ‘real’ or fundamental organizational ethic have changed, and new standards of behavior have prompted members to break organizational rules in the more or less decentralized organizational structures.     

US bureaucratic politics and the decision to invade Iraq

Why did the second Bush administration decide to invade Iraq in 2003? This article suggests that the question can usefully be addressed by looking at the ways in which regime change in Iraq became part of bureaucratic politics within the US government – under successive administrations – following the unsatisfactory termination of the first Gulf War in 1991. It is contended here that the limitations on bureaucratic politics within the second Bush administration were important in that the path toward a presidential decision for invasion was cleared by the failure of the higher echelons of the national security bureaucracy under Bush to work effectively in exercising core functions of challenge and debate.     

Character ethics and the transformation of governance

A focus on character ethics has the power to transform public adminstration, and transform governance as we know it. Virtue demands of us many things that professionalism, efficiency, effectiveness, and ordinary bureaucratic practices do not. It requires that we be perceptive and discerning, and that we have a predisposition to make judgments and act with courage. Focusing on character ethics would transform governance because a public service characterized by virtue and the attending fundamental respect for the dignity and worth of others, would not deny the public their rightful role in self-governance. A virtuous public servant will be an enabling and empowering force in our institutions of governance, helping reinvigorate civic virtue among both public administrators and the general citizenry. But if an ethic of character is to take hold in public administration, we need to design organizational environments and management practices more conducive to the development of virtuous habits. Fortunately such changes are also likely to foster productivity, creativity, and effectiveness.     

Faith-based initiatives and the challenges of governance

The task of this paper is to offer an analysis of the Faith-Based and Community Initiative (FBCI) established by George W. Bush and continued under the Obama administration based on a critical and decentred approach to governance (networks). The paper starts out by placing FBCI in the context of the welfare reform of 1996 arguing that both share certain basic assumptions, for example, regarding the nature of poverty, and that FBCI can be interpreted as a response to the relative failure of some aspects of the reform of 1996. In what follows, FBCI is analysed as a typical case of (welfare) state restructuring from government to governance. Emphasis is given to the way discourses and traditions such as communitarianism and public choice have shaped the formation of this new governance arrangement in the field of social service delivery in order to strive for a ‘decentring’ of FBCI by drawing attention to actors' beliefs and worldviews. Finally, I argue that it is not least because of a divergence of such views between policy-makers and faith-based organizations that the effect of FBCI remains for the time being limited.