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Transformation of China's rural health care financing.
Soc Sci Med 1995; 41(8):1085-93SS

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.

Authors+Show Affiliations

Harvard University School of Public Health, Program in Health Care Financing, Cambridge, MA 02138, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -