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Health care in China: a rural-urban comparison after the socioeconomic reforms.

Abstract

This article provides an overview of the current Chinese health care system with particular emphasis on rural-urban differences. China's post-1978 economic reforms, although they improved general living standards, created some unintended consequences, as evidenced by the disintegration of the rural cooperative medical system and the sharp reduction in the number of "barefoot doctors", both of which were essential elements in the improvement of health status in rural China. The increase in the elderly population and their lack of health insurance and pensions will also place enormous pressure on services for their care. These changes have disproportionately affected the rural health care system, leaving the urban system basically intact, and have contributed to the rural-urban disparity in health care. Based on recent data the article compares current rural-urban differences in health care policy, systems, resources, and outcomes, and proposes potential solutions to reduce them.

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  • Authors+Show Affiliations

    Department of Health Administration, School of Public Health, University of South Carolina, Columbia 29205.

    Source

    MeSH

    Cause of Death
    China
    Delivery of Health Care
    Female
    Health Policy
    Health Resources
    Health Status
    Humans
    Male
    Organizational Innovation
    Outcome Assessment (Health Care)
    Rural Health
    Social Change
    Socioeconomic Factors
    Urban Health

    Pub Type(s)

    Comparative Study
    Journal Article
    Review

    Language

    eng

    PubMed ID

    8313490

    Citation

    Shi, L. "Health Care in China: a Rural-urban Comparison After the Socioeconomic Reforms." Bulletin of the World Health Organization, vol. 71, no. 6, 1993, pp. 723-36.
    Shi L. Health care in China: a rural-urban comparison after the socioeconomic reforms. Bull World Health Organ. 1993;71(6):723-36.
    Shi, L. (1993). Health care in China: a rural-urban comparison after the socioeconomic reforms. Bulletin of the World Health Organization, 71(6), pp. 723-36.
    Shi L. Health Care in China: a Rural-urban Comparison After the Socioeconomic Reforms. Bull World Health Organ. 1993;71(6):723-36. PubMed PMID: 8313490.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Health care in China: a rural-urban comparison after the socioeconomic reforms. A1 - Shi,L, PY - 1993/1/1/pubmed PY - 1993/1/1/medline PY - 1993/1/1/entrez KW - Asia KW - China KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Eastern Asia KW - Economic Factors KW - Health KW - Health Facilities KW - Health Personnel KW - Hospitals KW - Mortality KW - Policy KW - Population KW - Population Characteristics KW - Population Dynamics KW - Recommendations KW - Rural Population KW - Social Policy KW - Socioeconomic Factors KW - Summary Report KW - Urban Population SP - 723 EP - 36 JF - Bulletin of the World Health Organization JO - Bull. World Health Organ. VL - 71 IS - 6 N2 - This article provides an overview of the current Chinese health care system with particular emphasis on rural-urban differences. China's post-1978 economic reforms, although they improved general living standards, created some unintended consequences, as evidenced by the disintegration of the rural cooperative medical system and the sharp reduction in the number of "barefoot doctors", both of which were essential elements in the improvement of health status in rural China. The increase in the elderly population and their lack of health insurance and pensions will also place enormous pressure on services for their care. These changes have disproportionately affected the rural health care system, leaving the urban system basically intact, and have contributed to the rural-urban disparity in health care. Based on recent data the article compares current rural-urban differences in health care policy, systems, resources, and outcomes, and proposes potential solutions to reduce them. SN - 0042-9686 UR - https://www.unboundmedicine.com/medline/citation/8313490/Health_care_in_China:_a_rural_urban_comparison_after_the_socioeconomic_reforms_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/8313490/ DB - PRIME DP - Unbound Medicine ER -