An early assessment of the County Medical Community reform in China: a case study of Zhejiang province

Wu, Chao; Tu, Yixin; Li, Zexi; Yu, Jun

doi:10.1080/23812346.2021.1978722

Cited by 12 publications

(14 citation statements)

References 6 publications

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“…As a new attempt of China's medical reform, the NCMR pilot policy also attracted the attention of scholars. However, there were few quantitative evaluations on the effect of the policy in the existing literature, and these studies mainly used the case study ( 9 ) or only focused on the policy effect of one province ( 28 ). In order to make up for the above shortcomings, this study uses the DID model to scientifically evaluate the impact of China's NCMR pilot policy on residents' medical expenses.…”

Section: Discussionmentioning

confidence: 99%

“…However, China's NCMR pilot policy has received less attention. Wu et al ( 9 ) took Zhejiang Province as an example, and analyzed the effect of China's NCMR pilot policy by using the case study method, finding that the policy achieved remarkable results in management, financing and fair investment, resource creation, service provision and health care. By comparing the relevant data of the pilot province of Jiangsu and the non-pilot province of Shandong before and after China's NCMR pilot policy implementation, Wang ( 28 ) found that the pilot policy effectively reduced residents' medical expenses.…”

Section: Literature Reviewmentioning

confidence: 99%

“…First, in terms of research topics, although the NCMR pilot policy has been implemented for more than seven years, there was little literature on the quantitative evaluation of the policy's implementation effects. Although a few studies focused on the policy ( 9 ), they mainly used the qualitative research methods such as case study rather than quantitative empirical analysis, making it difficult to evaluate the policy effect comprehensively and accurately. Based on the analysis framework of DID method, this study evaluates the net effect of the pilot policy on residents' medical expenses.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

Nie

Yuan

2023

Front. Public Health

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Residents' high medical expenses is the core challenge that needs to be solved urgently in China's medical reform for a long time. Based on the panel data of 30 provinces in Chinese Mainland during 2011–2019, we evaluate the impact of China's national comprehensive medical reform pilot policy on residents' medical expenses by using the difference-in-differences model. The results show that the pilot policy was generally conducive to reducing residents' medical expenses, resulting in a reduction of 2.13% in per capita medical expenses for inpatients, but the effect on per capita medical expenses for outpatients was insignificant. Mechanism analysis shows that hospital competition and institutional environment played a moderating role in the effect of the pilot policy on residents' medical expenses reduction. The more intense the hospital competition and the better the institutional environment, the more significant of the reduction effect. In addition, the reduction effect of the pilot policy was greater in the central provinces, the provinces with poor medical infrastructure, and the provinces with strong financial strength. This study provides useful policy insights for deepening medical reform and reducing residents' medical expenses.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

Nie

Yuan

2023

Front. Public Health

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“…The direction of discourses and narratives have evolved into a call for the reform of unjust and irrational institutional arrangements and the correction of the inadequate structural pattern of Chinese social policy, including stratified health insurance programs with lower reimbursement rates for rural and urban residents compared to urban employees, the still‐underdeveloped ‘tiered diagnosis and treatment’ system which seeks to introduce an OECD‐style ‘gatekeeper model’ for medical treatment at the grassroots level and the outdated household‐registration system ( Hukou ), which has constrained the use of local medical resources for migrant workers and residents. The discourses and narratives in the COVID‐19 pandemic call upon more sophisticated reforms to improve the quality of the social protection programs and the primary health care in local communities (Wu et al, 2021 ), reducing the gap in access to medical resources by different social classes and in different social spaces including mega cities, medium‐sized cities, small townships, counties, and villages. Therefore, different from the pro‐establishment trend (for social policy) promoted by the SARS crisis, the discourses and reform scripts during the Corona crisis since 2020 focused more on the recalibration, readjustment and rescaling of the current social policy system, so that it can operate with higher quality and more pertinence and shift more resources to remote areas in the Chinese medical periphery.…”

Section: Discussionmentioning

confidence: 99%

Social policy reform driven by crises: Promoting and reshaping social policy during the SARS and COVID‐19 pandemics in China

Liu

2022

Soc Policy Adm

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This article focuses on one particular and under‐investigated dimension in the study of social policy – crisis events and their special function in promoting and shaping social protection programs. Crises are usually regarded as negative social events that tempestuously challenge the pre‐existing socio‐economic order, triggering social conflicts and disruption, either temporarily or in a more enduring fashion. However, social crises may also foster new opportunities for social investment, public finance expansion and welfare state building after the outbreak of a crisis and even during the post‐crisis period. This article first examines the SARS pandemic and analyzes its developmental trajectory, reconstructing the national debates and discourses on the negative consequences and lessons learned in the SARS and post‐SARS period. I argue that this crisis event revealed many loopholes in the Chinese public health system, constituting a powerful driving force for rebuilding the medical insurance system and health governance in China, and strengthening public discourse on welfare state responsibility. Second, I explore how, during the COVID‐19 pandemic, scholars and experts have constructed the ‘short board’ of Chinese social policy, calling for further social policy reforms to narrow the gaps in health protection resources among social classes and to eliminate the fragmentation of health resource distribution.

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“…Third, technology is mainly related to the infrastructural dimension and has a positive correlation with tourism and the dimensions of sustainability. In other words, technology can be used positively as a driver of communication aimed at raising awareness of the behavior of the locals and domestic tourists or involving locals in PPT models (Wu, 2012). Generation Z has shown interest in and a propensity toward using technology for sharing information and value about their tourism experiences in developing countries.…”

Section: Managerial and Public Sector Implicationsmentioning

confidence: 99%

Is technology everywhere? Exploring Generation Z's perceptions of sustainable tourism in developing countries

Sfodera

Cain²,

Leo³

2022

IHR

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PurposeThis study examines the role of technology as a driver of sustainable tourism perceptions among Generation Z.Design/methodology/approachThe work considers the perspective of locals in Pakistan and uses a multi-method, multiphase embedded research design approach.FindingsThe research findings demonstrated that technology has a positive correlation with the environmental, socio-cultural and economic dimensions of sustainable tourism perception among Generation Z. Therefore, technology could be considered a dimension of sustainable tourism perception for locals, but perceptions differ significantly depending on the size of the city of the participant. The results of the experimental design phase that utilized picture stimuli demonstrated a linear relationship between technology and sustainability and enhanced their definition and implementation for developing countries.Originality/valueThis research diverges from most past research on these topics by focusing on Generation Z, for whom digital media and technology play a crucial role and for whom these technologies are positively correlated with sustainability and its overall perception. Implications for policies and practices for emerging country governments are provided.

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An early assessment of the County Medical Community reform in China: a case study of Zhejiang province

Cited by 12 publications

References 6 publications

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

The impact of national comprehensive medical reform on residents' medical expenses: Evidence from China

Social policy reform driven by crises: Promoting and reshaping social policy during the SARS and COVID‐19 pandemics in China

Is technology everywhere? Exploring Generation Z's perceptions of sustainable tourism in developing countries

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