Government transformation and the reform orientation of health care system in china
UEBMI offers a comprehensive range of outpatient and inpatient benefits, but they vary across cities and occupational groups.
The list of national essential medicines should be publicized in early Social capital investment in the sector will be encouraged to develop multi-level diversified health care services. The construction scale, standards and loan-taking behaviors of public hospitals should be strictly controlled.
High and rising drug prescription at inflated prices is a major problem that the government is struggling to address. Efforts should be made to improve the national reserve system of essential medicines, strengthen supervisions over drug quality, and conduct sampling inspection on the quality of drugs regularly and make the result open to the public.
China healthcare statistics
The spread of internet usage has allowed the Chinese population to voice its concerns despite government efforts to muzzle them. Advanced Search Abstract This article examines the role of health governance in shaping the outcomes of healthcare reforms in China. Efforts will be made to gradually address the issue of integration among the urban employees' basic medical insurance, the urban residents' basic medical insurance, and the New Rural Cooperative Medical Scheme. An account settlement mechanism will be established for treatment from allopatry, and for relocated retired insurants, methods should be explored to settle account in the same locality where treatment is received. As a long-term institutional arrangement for equal access to basic public health services, it has been the public health intervention strategy covering the biggest areas and the most beneficiaries in the past 70 years since the founding of the P. In , the average per capita public health funding shall be no less than 15 Yuan, and no less than 20 Yuan by Hospital managers are often prominent party officials, or are closely connected to those who are prominent, which affords them opportunities to shape government priorities. Public protests against gross injustices, such as land grabs by developers and police brutality, have provided a platform for the population to raise other concerns. Conclusion Public health in China needs to focus on prevention, strengthen multi-agency coordination mechanism, improve the quality of public health services in the future. Local governments are encouraged to explore and establish the mechanism for pricing health care services through the consultation of all stakeholders. The result is that providers can operate with minimal government supervision and control.
Thirdly, improve the grass-roots health care services system. By recognizing health care as a right, the government has implicitly accepted a heavy responsibility and is hence likely to pay greater attention to issues of costs because in future it, and not users alone, will have to pay for inefficiencies in the sector.
China healthcare system
Internationally, public health is composed of services in 3 categories: 1 population-based public health services, including vector control and population-wide health education; 2 individual-based preventive care, for instance, vaccination, premarital checkup and prenatal care; and 3 individual-based curative care against conditions affecting health of the public, such as TB and STD [ 27 ]. The central government will grant subsidies to the regions with financial difficulties through transfer payments. Manufacturers and distributors bidding for tender should have appropriate qualifications. The following projects will be launched starting from supplementary vaccination of Hepatitis B for individuals under 15; eliminating the hazards toxication by coal-burning fluorosis, supplementary intake of folic acid for rural women at the preconception and early pregnant stage for the purpose of preventing birth defect; cataracts cure for economically constrained patients; improving water supply and toilet facilities in rural areas. What privatization started, decentralization completed; giving providers the autonomy to pursue their interests relatively unencumbered by political interference. Free basic public health services shall be provided to urban and rural residents item by item. In China, the scope for collective action is particularly small due to various restrictions on civic and political activities. A similar effect resulted from the gradual demise of health insurance during the s. Retirees of closed-down and bankrupted enterprises should be entitled to the benefits of the basic medical insurance regardless of the premiums affordability by these enterprises. Both the purchaser and seller should sign the contract according to the result of tender, and strictly implement the contract. In , the infant mortality rate IMR was an impressive 34 per thousand live births, while life expectancy stood at 68 years Blumenthal and Hsiao Efforts should be made to explore and set up an integrated basic medical security management system for urban and rural areas, and gradually integrate the administrative resources handling and managing basic medical security. All the essential medicines are included in the drug reimbursement list of basic medical security, with the reimbursing rate much higher than that of non-essential medicines. Methods The study is a retrospective review of the development of public health in China over seven decades. The relevant ministries under the State Council should waste no time in formulating relevant supporting documents.
The pilot projects for public hospital reform will be launched inand popularized in The paper takes chronologic order as its analytical framework.
What is known is that the new governance structure will be more complex.
China healthcare system pros and cons
The government shall support public hospitals for basic construction and large-sized equipment procurement, development of key research subjects, costs for retirees in conformity with state regulations, and compensation for policy-related losses, etc. The arrangement to pay providers based on the volume of services provided may work well in other sectors but has perverse effects in health care where providers enjoy massive advantages over consumers. MOH is widely perceived as being overly sympathetic to public hospitals, its main client, and irresolute in enforcing government policies not to their liking. Because of the heavy burden of OOP on households and uneven access across regions, the healthcare system was ranked th out of for fairness of financial contribution even though it came out 61st overall WHO However, some provinces have begun to pay close attention to health care, knowing that they are being watched by central authorities and their overall performance will be judged partly on the basis of their record in managing the healthcare sector. The preferential taxation policies for non-profit hospitals shall be implemented, and the taxation policy for for-profit hospitals shall be improved. According to Winslow, a leading public health expert, public health is the science and art of preventing disease, prolonging life, and promoting health through the organized efforts and informed choices of society, organizations, public and private communities, and individuals [ 29 ]. In the following discussion, we examine the relationships among different levels of government, the changing role of social insurance, and the power of providers to shape the outcomes of health reforms. Similarly, the role of insurers is vital for health financing and service delivery. Township health centers shall change their way of services, organizing mobile medical teams to rural areas. FFS eminently serves the interests of providers because it offers them the means to concentrate on activities with the highest profit margins.
The central government will give full support to the construction of around county-level hospitals including TCM hospitals within three years, and at least one hospital in each county should reach the level of a standard county hospital.
Efforts will be made to disseminate health care knowledge, and establish CCTV health channel in In the health care context characterized by extreme information asymmetries, they succeed spectacularly in their efforts while the users and the society at large lose out.
based on 54 review