Suchergebnisse

(1): Financing health services in poor rural China. A strategy for health sector reform. / Gu Xing-Yuan ... - 32 S. : graph. Darst. - (... ; 17). - ISBN 1-85864-013-X.; (2): Health expenditure and finance in three poor counties of China. / Gu Xing-Yuan ... (eds.). - 65 S. - (... ; 21). - ISBN 1-85864-048-2

China is engaged in a major debate about the future of its health services. One reason for this is government's recognition that basic preventive and curative health services are an essential component of an anti-poverty strategy. This article outlines the major issues a strategy for re-establishing effective services in poor rural areas will have to address. It argues that government will have to develop a systematic approach to reform, that takes into account the economic and institutional environment within which the health services function. (IDS/DÜI)

By the late 1970s most of China's rural population had access to basic health services at a reasonable cost. Since then the transition to a market economy has affected the rural health services in a number of ways. This article outlines how changes in the system of health finance and a radical decentralisation of public administration have led to cost increases and deterioration of some health services. It argues that policy makers need to redefine government's role in the health sector in the context of the emerging market economy. (IDS/DÜI)

AbstractThe changes which have taken place in the Chinese economy since the late 1970s have affected rural health services in a number of ways: local prepayment schemes have collapsed and most people pay in cash for medical care; health facilities have more autonomy from the government; and political mobilization for health has decreased. In the less developed parts of the country poor households cannot get the health services they require and health facilities face financial problems. China's policy makers face an imposing agenda of issues which could lead them towards a fundamental redefinition of the relationships between users and providers of health services, third‐party payers, local government health departments and local professional and community organizations.