Chinese Strategies for Getting Health Care: Guanxi and its Alternatives

Munro, N. (2013) Chinese Strategies for Getting Health Care: Guanxi and its Alternatives. Working Paper. University of Strathclyde, Glasgow, UK.

81604.pdf - Published Version


Publisher's URL:


Chinese citizens are accustomed to dealing with risk and making choices about how to get things done. Such choices are evident in popular responses to hypothetical situations corresponding to three typical unethical practices in Chinese hospitals: overprescribing medicines not covered by insurance, encouraging patients to take unnecessary diagnostic tests, and taking bribes (“red envelopes” or hong bao) for treatment which has already formally been paid for. Using nationally representative survey data, this study examines public perceptions of the likelihood of encountering these practices in local county or district hospitals as well as preferences between different strategies for dealing with them. We develop and test hypotheses about the social structural determinants of preferred strategies: focussing on urban versus rural contexts, level of development, gender, age, education and income. The conclusion considers the implications of the findings for policies designed to mitigate unethical practices.

Item Type:Research Reports or Papers (Working Paper)
Additional Information:Studies in Public Policy 510. ISSN: 0140-8240.
Keywords:China, health care, unethical practices, particularism, voice,
Glasgow Author(s) Enlighten ID:Munro, Dr Neil
Authors: Munro, N.
Subjects:J Political Science > JQ Political institutions Asia
College/School:College of Social Sciences > School of Social and Political Sciences
Publisher:University of Strathclyde
Copyright Holders:Copyright © 2013 The Author
Publisher Policy:Reproduced with the permission of the author
Related URLs:

University Staff: Request a correction | Enlighten Editors: Update this record

Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
567651Performance evaluations, trust and utilization of health care in China: understanding relationships between attitudes and health-related behaviourJane DuckettEconomic & Social Research Council (ESRC)ES/J011487/1SPS - POLITICS