Published online by Cambridge University Press: 01 August 2014
The key hypotheses which find support in this study of the determinants of variations among the provinces of China in the provision of health and education services are: (1) that interprovincial variations in the provision of educational and health services can be explained largely by economic and ecological factors; (2) that specific levels of education and various types of medical services are responsive in different ways to changes in particular variables. For instance, the survival of cooperative health programs in the 1970s is much more sensitive to alterations in agricultural production than is the urban hospital system, which is much more dependent upon urban economic growth. This refines Dye's findings and makes them more applicable to Third World systems. (3) Central policy choices are therefore important because choices relating to investment strategy and program structure ultimately determine the relationship between the economy and the programs.
I would like to thank Professors Lawrence Baum, Joyce Kallgren, John Kessel, Dorothy Solinger and Edwin Winckler, two graduate students in political science at the Ohio State University, Christopher Clarke and Keun-sang Lee, and several anonymous referees for their trenchant comments. As well, I would like to thank Patti Anne Kirst for her help in data manipulation and Michele Whetzel-Newton for her excellent typing. Of course, any shortcomings which may remain are the author's responsibility.
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