China's 2009 health reform: What implications could be drawn for the NHS Foundation Trusts reform?

Liu, Hanhua; Emsley, Richard; Dunn, Graham

doi:10.1016/j.hlpt.2013.03.004

Cited by 4 publications

(15 citation statements)

References 11 publications

(7 reference statements)

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“…The Ministry of Health revealed this by saying, in 2000, that these costs had increased to a very high level, even to middle-income families, without any form of subsidy. More than 63% of the urban patients did not look for hospital assistance when necessary, and the main reason for this was that the doctor was expensive Emsley;Dunn, 2013). According to Blumenthal and Hsiao (2005), this was caused by the modification in the system of doctors' salaries, in which variable bonuses were included, deriving from sales of drugs and from expensive services that the doctor performed to the hospital.…”

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

“…However, Liu, Emsley and Dunn (2013) argue that it was in April 2009 that the Chinese government launched its large-scale health reform, with the aim of reestablishing the universal system that would provide primary care accessible to all. To meet this goal, the government would amplify the health financing by means of central and local budgets.…”

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

“…According to Liu, Emsley and Dunn (2013) and to Keyong Dong (2009), public health insurances were re-implemented by the April 2009 reform, encompassing four schemes and their respective target audiences. The first one was the Government Insurance Scheme (GIS).…”

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

“…Patients with chronic diseases, such as diabetes and thyroid disorders, can request an extra subsidy in their card to cover expenditures on drugs of daily use. The method of payment through the IC card was accepted only by health professionals regularly instituted in public and local hospitals Emsley;Dunn, 2013).…”

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

“…For example, in Guangshan County of Henan Province, patients covered by the public health insurance system had to pay the full amount of the first 200 yuan (£18.80) of their hospitalised care bill out of their own pocket in 2011 and the expenditure cap on hospitalised care bill for 2011 was 100,000 yuan (£9,400). In a large city in Guangdong Province, patients covered by the public system had to pay the full amount of the first 700 yuan (£65.80) of their hospitalised care bill out of their own pocket whilst for 2011 the expenditure cap on hospitalised care bill was 200,000 yuan (£18,800) Emsley;Dunn, 2013, p. 64).…”

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

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Política de saúde na China: a influência ocidental europeia em suas reformas a partir de 1978

Silva

2015

Saude soc.

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This paper intends to study the health policy in China. It starts from the hypothesis that the changes brought by the political and opening-up reform after 1978 are not configured by an "Americanization" process (implementation of the neoliberal project), but by an European occidentalization process based on the social services of the Welfare State of the "thirty glorious years". This process has a contributory character, through the introduction of social insurance in the constitution of China's social security system and, consequently, in its health systems. This results in a throwback in the health policy's collective and universal character, with problems to face regarding access and the financing of the health systems existing today, if we compare the Maoist period with the period after the political and opening-up reform launched by Deng Xiaoping. This situation brings to China the big challenge of creating strategies and reforms to ensure coverage of access to health services and equipment to its large population.

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Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

Section: Healthcare Policy In China After the Reforms Initiated By Dementioning

confidence: 99%

See 3 more Smart Citations

Política de saúde na China: a influência ocidental europeia em suas reformas a partir de 1978

Silva

2015

Saude soc.

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Trends in Mortality Rates for Alzheimer’s Disease and Other Dementias Over 30 Years in China

Bai

Dong

2021

Am J Alzheimers Dis Other Demen

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Objective: This study examines trends in the mortality of Alzheimer’s disease and other dementias in China from 1990 to 2019. Methods: The data were drawn from the Global Burden of Disease Study 2019 (GBD 2019), and an age–period–cohort model was used for analysis. Results: The net drift was .152% (95% confidence interval [CI]: .069%, .235%) per year for men ( P < .05) and .024% (95% CI: −.078%, .126%) per year for women. The local drift values were below 0 in both genders for people aged 45–54 years ( P < .05), and above 0 for males aged 60–94 years and females aged 60–79 years ( P < .05). In the same birth cohort, the risk of mortality of Alzheimer's disease and other dementias exponentially increases with age for both genders. Conclusion: More rapid and effective efforts are needed to mitigate the substantial impact of Alzheimer's and other dementias on the health of China’s elderly.

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Urbanization and health in China, thinking at the national, local and individual levels

et al. 2016

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BackgroundChina has the biggest population in the world, and has been experiencing the largest migration in history, and its rapid urbanization has profound and lasting impacts on local and national public health. Under these conditions, a systems understanding on the correlation among urbanization, environmental change and public health and to devise solutions at national, local and individual levels are in urgent need.MethodsIn this paper, we provide a comprehensive review of recent studies which have examined the relationship between urbanization, urban environmental changes and human health in China. Based on the review, coupled with a systems understanding, we summarize the challenges and opportunities for promoting the health and wellbeing of the whole nation at national, local, and individual levels.ResultsUrbanization and urban expansion result in urban environmental changes, as well as residents’ lifestyle change, which can lead independently and synergistically to human health problems. China has undergone an epidemiological transition, shifting from infectious to chronic diseases in a much shorter time frame than many other countries. Environmental risk factors, particularly air and water pollution, are a major contributing source of morbidity and mortality in China. Furthermore, aging population, food support system, and disparity of public service between the migrant worker and local residents are important contributions to China’s urban health.Conclusions At the national level, the central government could improve current environmental policies, food safety laws, and make adjustments to the health care system and to demographic policy. At the local level, local government could incorporate healthy life considerations in urban planning procedures, make improvements to the local food supply, and enforce environmental monitoring and management. At the individual level, urban residents can be exposed to education regarding health behaviour choices while being encouraged to take responsibility for their health and to participate in environmental monitoring and management. Electronic supplementary materialThe online version of this article (doi:10.1186/s12940-016-0104-5) contains supplementary material, which is available to authorized users.

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China's 2009 health reform: What implications could be drawn for the NHS Foundation Trusts reform?

Cited by 4 publications

References 11 publications

Política de saúde na China: a influência ocidental europeia em suas reformas a partir de 1978

Política de saúde na China: a influência ocidental europeia em suas reformas a partir de 1978

Trends in Mortality Rates for Alzheimer’s Disease and Other Dementias Over 30 Years in China

Urbanization and health in China, thinking at the national, local and individual levels

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