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Transformation of China's rural health care financing.

Abstract

In the late 1970s China launched its agricultural reforms which initiated a decade of continued economic growth and significant transformation of the Chinese society. The agricultural reforms altered the peasants' incentives, weakened community organization and lessened the central government's control over local communities. These changes largely caused the collapse of the widely acclaimed rural cooperative medical system in China. Consequently China experienced a decreased supply of rural health workers, increased burden of illnesses, disintegration of the three tier medical system, reduced primary health care, and an increased demand for hospital medical services. More than ten years have elapsed since China changed its agricultural economic system and China is still struggling to find an equitable, efficient and sustainable way of financing and organizing its rural health services. The Chinese experiences provided several important lessons for other nations: there is a need to understand the limits of the market forces and to redefine the role of the government in rural health care under a market economy; community participation in and control of local health financing schemes is essential in developing a sustainable rural health system; the rural health system needs to be dynamic, rather than static, to keep pace with changing demand and needs of the population.

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  • Authors+Show Affiliations

    ,

    Harvard University School of Public Health, Program in Health Care Financing, Cambridge, MA 02138, USA.

    , , ,

    Source

    Social science & medicine (1982) 41:8 1995 Oct pg 1085-93

    MeSH

    China
    Cross-Cultural Comparison
    Developing Countries
    Financing, Government
    Forecasting
    Health Care Reform
    Health Services Accessibility
    Humans
    Marketing of Health Services
    National Health Programs
    Rural Health

    Pub Type(s)

    Comparative Study
    Journal Article

    Language

    eng

    PubMed ID

    8578331

    Citation

    Liu, Y, et al. "Transformation of China's Rural Health Care Financing." Social Science & Medicine (1982), vol. 41, no. 8, 1995, pp. 1085-93.
    Liu Y, Hsiao WC, Li Q, et al. Transformation of China's rural health care financing. Soc Sci Med. 1995;41(8):1085-93.
    Liu, Y., Hsiao, W. C., Li, Q., Liu, X., & Ren, M. (1995). Transformation of China's rural health care financing. Social Science & Medicine (1982), 41(8), pp. 1085-93.
    Liu Y, et al. Transformation of China's Rural Health Care Financing. Soc Sci Med. 1995;41(8):1085-93. PubMed PMID: 8578331.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Transformation of China's rural health care financing. AU - Liu,Y, AU - Hsiao,W C, AU - Li,Q, AU - Liu,X, AU - Ren,M, PY - 1995/10/1/pubmed PY - 1995/10/1/medline PY - 1995/10/1/entrez SP - 1085 EP - 93 JF - Social science & medicine (1982) JO - Soc Sci Med VL - 41 IS - 8 N2 - In the late 1970s China launched its agricultural reforms which initiated a decade of continued economic growth and significant transformation of the Chinese society. The agricultural reforms altered the peasants' incentives, weakened community organization and lessened the central government's control over local communities. These changes largely caused the collapse of the widely acclaimed rural cooperative medical system in China. Consequently China experienced a decreased supply of rural health workers, increased burden of illnesses, disintegration of the three tier medical system, reduced primary health care, and an increased demand for hospital medical services. More than ten years have elapsed since China changed its agricultural economic system and China is still struggling to find an equitable, efficient and sustainable way of financing and organizing its rural health services. The Chinese experiences provided several important lessons for other nations: there is a need to understand the limits of the market forces and to redefine the role of the government in rural health care under a market economy; community participation in and control of local health financing schemes is essential in developing a sustainable rural health system; the rural health system needs to be dynamic, rather than static, to keep pace with changing demand and needs of the population. SN - 0277-9536 UR - https://www.unboundmedicine.com/medline/citation/8578331/Transformation_of_China's_rural_health_care_financing_ L2 - https://linkinghub.elsevier.com/retrieve/pii/027795369500428A DB - PRIME DP - Unbound Medicine ER -