Publications

2012
Mahal A, Fan VY. Expanding health coverage for Indians: an assessment of the policy challenge. In: India Policy Forum 2011-12. Vol. 8. New Delhi and Washington, DC: National Council of Applied Economic Research and Brookings Institution ; 2012. pp. 37-80. mahal_fan_2012_universal_health_coverage_in_india_ncaer_brookings.pdf
Savedoff WD, de Ferranti D, Smith AL, Fan VY. Political and economic aspects of the transition to universal health coverage. Lancet. 2012;380 (9845) :924-32. lancet_uhc_2012_savedoff_de_ferranti_smith_fan.pdf
Fan VY, Karan A, Mahal A. State health insurance and out-of-pocket health expenditures in Andhra Pradesh, India. International Journal of Health Care Finance and Economics. 2012;12 (3) :189-215. fan_karan_mahal_2012_aarogyasri_health_insurance_out-of-pocket_health_expenditure.pdf
2009
Lin SC, Hsu J, Fan VY. "Silent virtuous teachers": anatomical dissection in Taiwan. BMJ. 2009;339 :1438-1439. Publisher's VersionAbstract

Summary points: (1) Dissection of the human body is an integral component of medical education but requires body donors and appropriate respect in students; (2) The non-anonymous relationship between donors and students in Taiwan, and the reverent process applied, allow students to better perceive cadavers as people and as teachers, rather than objects; (3) Interactions with donors’ families provide opportunities for students to reflect and to develop compassion, gratitude, respect, and giving, which may help students to cope with typical anxieties in confronting death; (4) This approach to dissection seems successful in attracting potential donors despite prevailing cultural concerns not to disturb the deceased

b5001.pdf
2008
Anand S, Fan VY, Zhang J, Zhang L, Ke Y, Chen LC. Human resources for health in China: quantity, quality, and distribution. The Lancet. 2008;372 (9651) :1774-1781. Publisher's VersionAbstract

In this paper, we analyse China's current health workforce in terms of quantity, quality, and distribution. Unlike most countries, China has more doctors than nurses—in 2005, there were 1·9 million licensed doctors and 1·4 million nurses. Doctor density in urban areas was more than twice that in rural areas, with nurse density showing more than a three-fold difference. Most of China's doctors (67·2%) and nurses (97·5%) have been educated up to only junior college or secondary school level. Since 1998 there has been a massive expansion of medical education, with an excess in the production of health workers over absorption into the health workforce. Inter-county inequality in the distribution of both doctors and nurses is very high, with most of this inequality accounted for by within-province inequalities (82% or more) rather than by between-province inequalities. Urban–rural disparities in doctor and nurse density account for about a third of overall inter-county inequality. These inequalities matter greatly with respect to health outcomes across counties, provinces, and strata in China; for instance, a cross-county multiple regression analysis using data from the 2000 census shows that the density of health workers is highly significant in explaining infant mortality.

Anand_Fan_et_al_2008.pdf
2005
Fan VY. Care and hope for the dying. American Journal of Hospice and Palliative Care. 2005;22 (6) :474-475. fan-palliative-care-taiwan-thailand.pdf