Although global exporters, foreign producers, and domestic producers have been battling each other in China’s chocolate market for decades, it is not clear how Chinese consumers respond to the various brands. This chapter discusses the implementation of two tasting experiments to test the preferences of Chinese consumers. A ‘blind condition’, where participants were not told about the chocolate brands, was compared with a ‘non-blind condition’, where participants were informed about the brands before tasting. The results suggest that brand information does influence tasting experience. Chinese consumers have higher preferences for imported brands as compared with domestic brands or foreign brands which are produced in China.
Keywords: blind condition, Chinese consumers, preference of Chinese consumers, chocolate brands, tasting experiments, experiments, imported brands
Introduction Primary healthcare (PHC) serves as the cornerstone for the attainment of universal health coverage (UHC). Efforts to promote UHC should focus on the expansion of access and on healthcare quality. However, robust quality evidence has remained scarce in China. Common quality assessment methods such as chart abstraction, patient rating and clinical vignette use indirect information that may not represent real practice. This study will send standardised patients (SP or healthy person trained to consistently simulate the medical history, physical symptoms and emotional characteristics of a real patient) unannounced to PHC providers to collect quality information and represent real practice.
Methods and analysis 1981 SP–clinician visits will be made to a random sample of PHC providers across seven provinces in China. SP cases will be developed for 10 tracer conditions in PHC. Each case will include a standard script for the SP to use and a quality checklist that the SP will complete after the clinical visit to indicate diagnostic and treatment activities performed by the clinician. Patient-centredness will be assessed according to the Patient Perception of Patient-Centeredness Rating Scale by the SP. SP cases and the checklist will be developed through a standard protocol and assessed for content, face and criterion validity, and test–retest and inter-rater reliability before its full use. Various descriptive analyses will be performed for the survey results, such as a tabulation of quality scores across geographies and provider types.
Ethics and dissemination This study has been reviewed and approved by the Institutional Review Board of the School of Public Health of Sun Yat-sen University (#SYSU 2017-011). Results will be actively disseminated through print and social media, and SP tools will be made available for other researchers.
Please join Stanford's Center on Democracy, Development, and the Rule of Law (CDDRL) on Tuesday, February 19, 2019 for a conversation with Larry Summers on US-China relations. Summers will be joined in coversation with Francis Fukuyama, the Mosbacher Director of CDDRL.
Speaker Bio
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Former Treasury Secretary Lawrence H. Summers is one of America’s leading economists. In addition to serving as 71st Secretary of the Treasury in the Clinton Administration, Dr. Summers served as Director of the White House National Economic Council in the Obama Administration, as President of Harvard University, and as the Chief Economist of the World Bank.Currently, Dr. Summers is the President Emeritus and the Charles W. Eliot University Professor at Harvard University, where he became a full professor at age 28, one of the youngest in Harvard’s recent history. He directs the University’s Mossavar-Rahmani Center for Business and Government. Summers was the first social scientist to receive the National Science Foundation’s Alan Waterman Award for scientific achievement and, in 1993, he was awarded the John Bates Clark Medal, given to the most outstanding economist under 40 in the United States. He was elected to the National Academy of Sciences in 2002. He has published more than 150 papers in scholarly journals.
Stanford Institute for Economic Policy Research 366 Galvez Street Stanford, CA 94305
Lawrence H. Summers
Charles W. Eliot University Professor and President Emeritus at Harvard University
Encina Hall, C148
616 Jane Stanford Way
Stanford, CA 94305
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f.fukuyama@stanford.edu
Olivier Nomellini Senior Fellow at the Freeman Spogli Institute for International Studies
Director of the Ford Dorsey Master's in International Policy
Research Affiliate at The Europe Center
Professor by Courtesy, Department of Political Science
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Francis Fukuyama is the Olivier Nomellini Senior Fellow at Stanford University's Freeman Spogli Institute for International Studies (FSI), and a faculty member of FSI's Center on Democracy, Development and the Rule of Law (CDDRL). He is also Director of Stanford's Ford Dorsey Master's in International Policy, and a professor (by courtesy) of Political Science.
Dr. Fukuyama has written widely on issues in development and international politics. His 1992 book, The End of History and the Last Man, has appeared in over twenty foreign editions. His book In the Realm of the Last Man: A Memoir will be published in fall 2026.
Francis Fukuyama received his B.A. from Cornell University in classics, and his Ph.D. from Harvard in Political Science. He was a member of the Political Science Department of the RAND Corporation, and of the Policy Planning Staff of the US Department of State. From 1996-2000 he was Omer L. and Nancy Hirst Professor of Public Policy at the School of Public Policy at George Mason University, and from 2001-2010 he was Bernard L. Schwartz Professor of International Political Economy at the Paul H. Nitze School of Advanced International Studies, Johns Hopkins University. He served as a member of the President’s Council on Bioethics from 2001-2004. He is editor-in-chief of American Purpose, an online journal.
Dr. Fukuyama holds honorary doctorates from Connecticut College, Doane College, Doshisha University (Japan), Kansai University (Japan), Aarhus University (Denmark), the Pardee Rand Graduate School, and Adam Mickiewicz University (Poland). He is a non-resident fellow at the Carnegie Endowment for International Peace. He is a member of the Board of Trustees of the Rand Corporation, the Board of Trustees of Freedom House, and the Board of the Volcker Alliance. He is a fellow of the National Academy for Public Administration, a member of the American Political Science Association, and of the Council on Foreign Relations. He is married to Laura Holmgren and has three children.
(October 2025)
Global Populisms
A new project examining the global surge in populist movements and what it means for established democratic rules and institutions.
Olivier Nomellini Senior Fellow at the Freeman Spogli Institute for International Studies (FSI), and Mosbacher Director of FSI's Center on Democracy, Development, and the Rule of Law.
Unlike performance incentives for private sector managers, little is known about performance incentives for managers in public sector bureaucracies. Through a randomized trial in rural China, we study performance incentives rewarding school administrators for reducing student anemia -- as well as complementarity between incentives and orthogonally assigned discretionary resources. Large (but not small) incentives and unrestricted grants both reduced anemia, but incentives were more cost-effective. Although unrestricted grants and small incentives do not interact, grants fully crowd-out the effect of larger incentives. Our findings suggest that performance incentives can be effective in bureaucratic environments, but they are not complementary to discretionary resources.
In her acclaimed book The Third Revolution: Xi Jinping and the New Chinese State, Chinese domestic and foreign policy expert Elizabeth Economy argues that Xi Jinping’s dual-reform trajectories—a more authoritarian system at home and a more ambitious foreign policy abroad—provide Beijing with new levers of influence that the United States must learn to use to protect its own interests.
Economy, the C. V. Starr senior fellow and director for Asia studies at the Council on Foreign Relations and a distinguished visiting fellow at Stanford University's Hoover Institution, kicked off the China Program’s 2019 winter colloquia with a discussion of the transformations underway in China today and the future of U.S.-China relations.
Speaking to a packed audience, Economy described how, in the process of pursuing his vision of the rejuvenation of the Chinese dream, Xi Jinping has upended much of Deng Xiaoping’s "second revolution" and has put in motion four significant strategic shifts in Chinese domestic and foreign policy.
The first shift is a move away from Deng’s consensus- and collective-based decision-making process back toward a more single-man, authoritarian role. The second is a reassertion of the Chinese Communist Party more deeply into the everyday political and economic lives of the Chinese people. The third is a creation of a virtual wall of restrictions and regulations that allows Xi and the rest of the Chinese leadership to control more closely what comes into the country and what goes out. The fourth shift, the most visible one to people outside China, is the move from Deng’s low-profile foreign policy to a far more ambitious foreign policy.
This foreign policy shift, said Economy, is especially noteworthy in three areas: first, in Xi’s move from staking claims around Chinese sovereignty to realizing them; second, in his Belt and Road Initiative; and third, in his effort to reform institutions of global governance so that they reflect Chinese values and norms.
How should the United States address these changes in China’s domestic and foreign policy? Economy listed four ways of response: first, cooperation, namely, collaborating with China on global problems such as those concerning public health or the environment; second, coordination with U.S. allies; third, countering China by pushing back on, for example, its South China Sea claims and incidents of intellectual property infringement; and finally, competing with China by investing domestically in areas including education and research and technological development.
Listen to Economy’s discussion. A transcript is also available below.
In the nearly seven years since assuming the role of General Secretary of the Communist Party of China, Xi Jinping has had far-ranging impact on the country’s policies at home and abroad. From his anti-corruption campaign and tightening restrictions on civil society to championing the Belt and Road initiative and abolishing China’s presidential term limits, Xi is transforming the Chinese state and its place on the global stage.
Among the cutting-edge topics that China scholars are beginning to explore is Xi’s impact on Chinese politics and its concomitant influence on what and how scholars study Chinese politics. Last December, the China Program at Shorenstein APARC hosted a conference that drew preeminent scholars of Chinese politics and comparative politics primarily from across the United States and Canada, where they gathered to assess the state of the discipline, and where the field might go next.
Too Big for One Room
The conference traces its origins to a prior gathering at the American Political Science Association (APSA). The number of attendees at that meeting outpaced any room upgrade APSA could provide. “We were impressed by the number of people studying Chinese politics,” said the China Program Director Jean Oi . “It was apparent to many of us who attended that meeting that it was time we convened a separate event with leaders in the field.”
The need to bring together the multiple generations of scholars of Chinese politics was also clear. “Younger scholars today are so much more well-equipped with various sophisticated methodologies such as machine learning and web scraping,” noted Oi. “We decided it would be useful to gather those doing various types of research, quantitative and qualitative, to think about what we don’t know about Chinese politics but would like to know; and how possibly we might go about doing that research. Our goal for this conference was to try to identify collectively some of those questions for the study of Chinese politics and how our research might contribute to the broader field of comparative politics.” The first gathering of Chinese politics scholars took place at Harvard in December 2017.
‘Burning Questions’ Light Up Second Gathering
(From left to right): Stanford Professors Jean Oi (chair), Lisa Blaydes, Beatriz Magaloni (partially hidden), Michael McFaul, and Barry Weingast during the conference plenary session with comparative politics scholars
That first conference at Harvard reinforced the utility of inter-dialog and helped organizers secure a grant from APSA, which along with support from from FSI and Shorenstein APARC facilitated the second gathering, this time at Stanford. To ensure that the sessions allowed for maximum participant engagement, attendees were assigned into seven working groups. In the months preceding the conference, each group prepared a memo identifying the key questions in the field of Chinese politics, the ways to addressing these questions, and the synergies between Chinese politics and comparative politics .
“The State of the Field in Chinese Politics” conference opened with presentations by the seven small group leaders to a plenary session, followed by discussion of the various burning questions identified by the participants. Unsurprisingly, one prominent item across many of the memos was the oversized impact of Xi on China. Other areas of interest included “elite politics,” the relationship between newfound billionaires and the party, the renewed role of state-owned enterprises in the economy, and the current status of relationships between the private sector, the Party, and the state
Several groups also expressed their desire to learn more about the internal workings of the Party, specifically the adaptation of political institutions over time. While observers often point out that China’s political institutions have changed little compared to its economic institutions, scholars have also found that, in fact, the changes within China’s governmental organizations have been subtle yet profound. But how can we determine when an organizational structure changes the ways in which it operates, and who decides? The field of Chinese politics remains uncertain about these questions.
On the second day, conference attendees were joined by several Stanford scholars of comparative politics, including FSI Director Mike McFaul and FSI Senior Fellows Lisa Blaydes, Beatriz Magaloni and Barry Weingast, who responded to the group memos. Breakout discussions of methodology followed.
Keeping the Fire Going
(From left to right): Professors Kellee Tsai, Hong Kong University of Science and Technology; Jean Oi, Stanford University; Mary Gallagher, University of Michigan; and Margaret Pearson, University of Maryland confer with one another
The conference concluded with a plenary session that focused on the questions "Where are we now?” and “Where do we go next?" One conclusion from the closing was an acknowledgment of the need to more fully consider China in the context of its interactions with other countries in the region as well as globally. “I think that ‘China in the Global Context’ may very well be the theme of our next conference,” said Oi.
A third conference is tentatively scheduled for December 2019. The five partners behind the series—Stanford University, Harvard University, Duke University, MIT, and the University of Michigan—are currently seeking outside funding to keep this effort going. The hope is that the next meeting will be at Duke University.
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(From left to right): Three of the presenters during the first plenary session: Professors Mary Gallagher, University of Michigan; Melanie Manion, Duke University; and Jean Oi, Stanford University
Shorenstein APARC
Stanford University
Encina Hall
Stanford, CA 94305-6055
650.724.6404
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kate222@stanford.edu
Oksenberg-Rohlen Fellow
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David M. (“Mike”) Lampton is the Oksenberg-Rohlen Fellow at FSI and affiliated with Shorenstein APARC. Lampton (BA ’68, MA ’71, PhD ’74), an expert in Chinese politics and U.S.-China relations, is the Hyman Professor of China Studies and Director of the China Studies Program at the Johns Hopkins School of Advanced International Studies Emeritus.
Lampton's current book project is focused on the development of high-speed railways from southern China to Singapore. He is the author of a dozen books and monographs, including Following the Leader: Ruling China, from Deng Xiaoping to Xi Jinping (University of California Press, 2014, and second edition 2019) and The Three Faces of Chinese Power: Might, Money, and Minds (University of California Press, 2008). He has testified at multiple congressional and commission sessions and published numerous articles, essays, book reviews, and opinion pieces in many venues popular and academic in both the western world and in Chinese-speaking societies, including Foreign Affairs, Foreign Policy, The American Political Science Review, The China Quarterly, The New York Times, The Washington Post, and many others.
Over the course of his career, Lampton accompanied American public and private sector leaders to China, and Chinese leaders to the United States. Formerly President of the National Committee on United States-China Relations, Lampton consults with government, business, and social sector organizations, and has served on the boards of several non-governmental and educational organizations, including the Asia Foundation for which he served as chairman. The recipient of many academic awards, he is an Honorary Senior Fellow of the American Studies Institute of the Chinese Academy of Social Sciences, former Gilman Scholar at Johns Hopkins, and the inaugural winner of the Scalapino Prize in 2010, awarded by the National Bureau of Asian Research and the Woodrow Wilson International Center for Scholars in recognition of his exceptional contributions to America’s understanding of the vast changes underway in Asia.
This research uses a mixed-methods analysis to examine how being left behind impacts the cognition/education, nutrition, and mental health outcomes of children in rural China. We find that parental migration increases household income and decreases care, and these impacts vary based on location, socioeconomic status, and age. We also find that families generally recognize these impacts. Our findings offer a more general view of the effects of being left behind on childhood outcomes than previous research, which often used small sample sizes from limited geographic areas or age ranges. Although our research focuses on China, the findings are relevant to other developing nations where working-age individuals often migrate domestically or internationally in search of work, such as Mexico and the Philippines.
This study examines the impact of social engagement on elderly health in China. A two-stage residual inclusion (2SRI) regression approach was used to examine the causal relationship. Our dataset comprises 9253 people aged 60 or above from the China Health and Retirement Longitudinal Survey (CHARLS) conducted in 2011 and 2013. Social engagement significantly improved the self-rated health of the elderly and reduced mental distress, but had no effect on chronic disease status. Compared with the rural areas, social engagement played a more important role in promoting the elderly health status in urban areas. Social engagement could affect the health status of the elderly through health behavior change and access to health resources. To improve the health of the elderly in China and promote healthy aging, the government should not only improve access to effective medical care but also encourage greater social engagement of the elderly.
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International Journal of Environmental Research and Public Health
