mdh.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
The impact of expanded health system reform on governmental contributions and individual copayments in the new Chinese rural cooperative medical system
Zhejiang University, Center for Health Policy Studies, China.
Zhejiang University, Center for Health Policy Studies, China.
Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska institutet, Global health, Sweden.ORCID-id: 0000-0003-0368-050X
Zhejiang University, Center for Health Policy Studies, China.
Visa övriga samt affilieringar
2016 (Engelska)Ingår i: International Journal of Health Planning and Management, ISSN 0749-6753, E-ISSN 1099-1751, Vol. 31, nr 1, s. 36-48Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

In 2002, the Chinese central government created a new rural cooperative medical system (NCMS), ensuring that both central and local governments partner with rural residents to reduce their copayments, thus making healthcare more affordable. Yet, significant gaps in health status and healthcare utilization persisted between urban and rural communities. Therefore, in 2009, healthcare reform was expanded, with (i) increased government financing and (ii) sharply reduced individual copayments for outpatient and inpatient care. Analyzing data from China's Ministry of Health, the Rural Cooperative Information Network, and Statistical Yearbooks, our findings suggest that healthcare reform has reached its preliminary objectives-government financing has grown significantly in most rural provinces, especially those in poorer western and central China, and copayments in most rural provinces have been reduced. Significant intraprovincial inequality of support remains. The central government contributes more money for poor provinces than for rich ones; however, NCMS schemes operate at the county level, which vary significantly in their level of economic development and per capital gross domestic products (GDP) within a province. Data reveal that the compensation ratios for both outpatient and inpatient care are not adjusted to compensate for a rural county's level of economic development or per capita GDP. Consequently, a greater financial burden for healthcare persists among persons in the poorest rural regions. A recommendation for next step in healthcare reform is to pool resources at prefectural/municipal level and also adjust central government contributions according to the GDP level at prefectural/municipal level.

Ort, förlag, år, upplaga, sidor
2016. Vol. 31, nr 1, s. 36-48
Nyckelord [en]
new rural cooperativemedical care system; financing contribution; copayment; China
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
Forskningsämne
vårdvetenskap
Identifikatorer
URN: urn:nbn:se:mdh:diva-25998DOI: 10.1002/hpm.2259ISI: 000373068500008PubMedID: 24849215Scopus ID: 2-s2.0-84961240025OAI: oai:DiVA.org:mdh-25998DiVA, id: diva2:749333
Projekt
European Union grant “261304” and the China Medical Board research grant “09-989”
Forskningsfinansiär
EU, Europeiska forskningsrådet, 261304Tillgänglig från: 2014-09-23 Skapad: 2014-09-23 Senast uppdaterad: 2019-06-18Bibliografiskt granskad

Open Access i DiVA

Fulltext saknas i DiVA

Övriga länkar

Förlagets fulltextPubMedScopus

Personposter BETA

Bogg, Lennart

Sök vidare i DiVA

Av författaren/redaktören
Bogg, Lennart
Av organisationen
Hälsa och välfärd
I samma tidskrift
International Journal of Health Planning and Management
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Sök vidare utanför DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 808 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf