A dilemma of Chinese healthcare reform: How to re-define government roles?

Wang, Hufeng

doi:10.1016/j.chieco.2009.04.001

Cited by 41 publications

(35 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One unique feature of the debate is strong public support for government intervention in health care, making China differ greatly from many countries [20,21]. Historically, both the famous "barefoot doctors" and the cooperative medical scheme, the predecessor of NRCMS, were keenly promoted by the governments in the 1960s-1970s [22].…”

Section: Strong Public Support For Government Intervention In Health mentioning

confidence: 99%

“…For example, although Chinese governments attempted to establish NRCMS in 1996, the NRCMS coverage stayed at very low level until the subsidies were announced in 2003 [46]. Within five years of the announcement, the subsidies increased fourfold [21], and along with the increased subsidies, the NRCMS enrollment rose to 800 million people [4].…”

Section: Heavy Government Subsidies For Health Insurancementioning

confidence: 99%

“…To correct the so-called "market failures", many researchers proposed for stronger government intervention in the health sector [36]. As a counterargument, several researchers who noted that the limited market mechanism ambiguously defined by the governments has distorted the health care system called for market-oriented reform [21,37]. Because it was not well received by government officials [38], the counterargument was barely discussed in the 2009 national health care reform plan [39].…”

mentioning

confidence: 99%

See 2 more Smart Citations

Universal health insurance coverage for 1.3 billion people: What accounts for China's success?

2015

Health Policy

265

254

View full text Add to dashboard Cite

China successfully achieved universal health insurance coverage in 2011, representing the largest expansion of insurance coverage in human history. While the achievement is widely recognized, it is still largely unexplored why China was able to attain it within a short period. This study aims to fill the gap. Through a systematic political and socio-economic analysis, it identifies seven major drivers for China's success, including (1) the SARS outbreak as a wake-up call, (2) strong public support for government intervention in health care, (3) renewed political commitment from top leaders, (4) heavy government subsidies, (5) fiscal capacity backed by China's economic power, (6) financial and political responsibilities delegated to local governments and (7) programmatic implementation strategy. Three of the factors seem to be unique to China (i.e., the SARS outbreak, the delegation, and the programmatic strategy.) while the other factors are commonly found in other countries' insurance expansion experiences. This study also discusses challenges and recommendations for China's health financing, such as reducing financial risk as an immediate task, equalizing benefit across insurance programs as a long-term goal, improving quality by tying provider payment to performance, and controlling costs through coordinated reform initiatives. Finally, it draws lessons for other developing countries.

show abstract

Section: Strong Public Support For Government Intervention In Health mentioning

confidence: 99%

Section: Heavy Government Subsidies For Health Insurancementioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Universal health insurance coverage for 1.3 billion people: What accounts for China's success?

2015

Health Policy

265

254

View full text Add to dashboard Cite

show abstract

“…Rapid expansion has resulted in coverage of 720 million agricultural households (85.9 percent of the total rural population) by the end of 2007 [13]. Commercial health insurance only accounted for 7.6 percent of the total market share, and it mainly served upper class individuals [25].…”

Section: Health Insurancementioning

confidence: 99%

Pharmaceutical supply chain in China: Current issues and implications for health system reform

et al. 2010

View full text Add to dashboard Cite

“…Additionally, increased numbers of physicians are resorting to expensive medicine or treatment for major prescriptions. Thus, again it is more difficult for people with lower income (peasants and workers) to afford these Wang (2009). also claims that ineffective governmental supervision eventually led to malpractice, misuse of drugs, and abuse of the high-technology diagnosis machines.A further level of healthcare issues is related to limited coverage and low reimbursement rates.…”

mentioning

confidence: 99%

Healthcare reform in mainland China: The relationship of healthcare reform and economic development in Chinese rural and urban areas

Lee

View full text Add to dashboard Cite

A dilemma of Chinese healthcare reform: How to re-define government roles?

Cited by 41 publications

References 3 publications

Universal health insurance coverage for 1.3 billion people: What accounts for China's success?

Universal health insurance coverage for 1.3 billion people: What accounts for China's success?

Pharmaceutical supply chain in China: Current issues and implications for health system reform

Healthcare reform in mainland China: The relationship of healthcare reform and economic development in Chinese rural and urban areas

Contact Info

Product

Resources

About