Use of Guanxi and Other Strategies in Dealing with the Chinese Health Care System

Abstract

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 w..