Abstract
Using data from 276 general acute hospitals in the Pearl River Delta region of Guangdong Province from 2002 and 2004, we construct a preliminary metric of budget constraint softness. We find that, controlling for hospital size, ownership, and other factors, a Chinese hospital’s probability of receiving government financial support is inversely associated with the hospital’s previous net revenue, an association consistent with soft budget constraints.
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Anderson J.H., Korsun G., Murrell P. (2000) Which enterprises (believe they) have soft budgets? Evidence on the effects of ownership and decentralization in Mongolia. Journal of Comparative Economics 28: 219–246. doi:10.1006/jcec.2000.1650
Bai C.E., Wang Y. (1998) Bureaucratic control and the soft budget constraint. Journal of Comparative Economics 26(1): 41–61. doi:10.1006/jcec.1997.1506
Brandt L., Zhu X. (2001) Soft budget constraint and inflation cycles: A positive model of the macro-dynamics in China during transition. Journal of Development Economics 64(2): 437–457. doi:10.1016/S0304-3878(00)00145-0
Eggleston K., Li L., Meng Q., Lindelow M., Wagstaff A. (2008) Health service delivery in China: A literature review. Health Economics 17: 149–165. doi:10.1002/hec.1306
Eggleston, K., Lu, M., Li, C., Wang, J., Yang, Z., & Zhang, J. (2009). Comparing public and private hospitals in China: Evidence from Guangdong. Asia Health Policy Program working paper #7, Walter H. Shorenstein Asia-Pacific Research Center, Stanford University, http://asiahealthpolicy.stanford.edu/publications/
Eggleston, K., Lu, M., Li, C., Wang, J., & Yang, Z. Physician payment incentives, cost and quality of hospital services: Evidence from Guangdong, China. Forthcoming in China Labor Economics, published by Institute of Population and Labor Economics. Chinese Academy of Social Sciences. (forthcoming).
Hu S., Tang S., Liu Y., Zhao Y., Escobar M., de Ferranti D. (2008) Reform of how health care is paid for in China: Challenges and opportunities. Lancet 372(9652): 1846–1853. doi:10.1016/S0140-6736(08)61368-9
Ito J. (2006) Economic and institutional reform packages and their impact on productivity: A case study of Chinese township and village enterprises. Journal of Comparative Economics 34(1): 167–190. doi:10.1016/j.jce.2005.12.002
Kornai J. (1986) The softness of budget constraint. Kyklos 39(1): 3–30. doi:10.1111/j.1467-6435.1986.tb01252.x
Kornai, J. (2009). The soft budget constraint syndrome in the hospital sector. International Journal of Health Care Finance and Economics. doi:10.1007/s10754-009-9064-4.
Kornai J., Maskin E.S., Roland G. (2003) Understanding the soft budget constraint. Journal of Economic Literature 41(4): 1095–1136. doi:10.1257/002205103771799999
Li H. (2003) Government’s budget constraint, competition, and privatization: Evidence from China’s rural industry. Journal of Comparative Economics 31(3): 486–502. doi:10.1016/S0147-5967(03)00070-2
Li L. (2008) Employment burden, government ownership and soft budget constraints: Evidence from a Chinese enterprise survey. China Economic Review 19(2): 215–229. doi:10.1016/j.chieco.2007.09.004
Qian Y., Roland G. (1996) The soft budget constraint in China. Japan and the World Economy 8(2): 207–223. doi:10.1016/0922-1425(96)00037-0
Shen, Y.-C., & Eggleston, K. (2009). The effect of soft budget constraints on access and quality in hospital care. International Journal of Health Care Finance and Economics. doi:10.1007/s10754-009-9066-2.
Wong C.P.W. (1986) The economics of shortage and problems of reform in Chinese industry. Journal of Comparative Economics 10(4): 363–387. doi:10.1016/0147-5967(86)90078-8
Xu C. (1997) Comments on: The soft budget constraint in China. Japan and the World Economy 9(1): 13–15. doi:10.1016/S0922-1425(96)00229-0
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Eggleston, K., Shen, YC., Lu, M. et al. Soft budget constraints in China: Evidence from the Guangdong hospital industry. Int J Health Care Finance Econ 9, 233–242 (2009). https://doi.org/10.1007/s10754-009-9067-1
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DOI: https://doi.org/10.1007/s10754-009-9067-1