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Market reforms and China's health care system

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  • HO, Lok Sang

Abstract

This paper provides an overview of the medical care system in the People's Republic of China, and assesses the impact of market reforms on the evolution of the medical care system. There is clear indication that China is moving towards a 'prepaid' system closely related to the HMO of the west. Decentralization of the medical care system administration has paved the way for a diversity of local experiments with different ways of reform, but the main direction is towards a integration of decisions over medical services and the insurance function. It is argued that reforms in this direction, while retaining a degree of socialization, will improve the efficiency and equity aspects of the Chinese medical care system.

Suggested Citation

  • HO, Lok Sang, 1995. "Market reforms and China's health care system," Social Science & Medicine, Elsevier, vol. 41(8), pages 1065-1072, October.
    • Handle: RePEc:eee:socmed:v:41:y:1995:i:8:p:1065-1072
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    Cited by:

    1. LABAR, Kelly & BRESSON, Florent, 2011. "A multidimensional analysis of poverty in China from 1991 to 2006," China Economic Review, Elsevier, vol. 22(4), pages 646-668.
    2. Tu, Feng & Tokunaga, Shoji & Deng, ZhouLu & Nobutomo, Koichi, 2002. "Analysis of hospital charges for cerebral infarction stroke inpatients in Beijing, People's Republic of China," Health Policy, Elsevier, vol. 59(3), pages 243-256, March.
    3. Ensor, Tim & Ronoh, Jeptepkeny, 2005. "Effective financing of maternal health services: A review of the literature," Health Policy, Elsevier, vol. 75(1), pages 49-58, December.
    4. Xia Fu & Jiajia Xu & Li Song & Hua Li & Jing Wang & Xiaohua Wu & Yani Hu & Lijun Wei & Lingling Gao & Qiyi Wang & Zhanyi Lin & Huigen Huang, 2015. "Validation of the Chinese Version of the Quality of Nursing Work Life Scale," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-12, May.
    5. Du, Juan, 2009. "Economic reforms and health insurance in China," Social Science & Medicine, Elsevier, vol. 69(3), pages 387-395, August.
    6. Antonio Vera & Ludwig Kuntz, 2007. "Prozessorientierte Organisation und Effizienz im Krankenhaus," Schmalenbach Journal of Business Research, Springer, vol. 59(2), pages 173-197, March.
    7. Degeling, Pieter & Zhang, Kai & Coyle, Barbara & Xu, Lingzhong & Meng, Qingyue & Qu, Jiangbin & Hill, Michael, 2006. "Clinicians and the governance of hospitals: A cross-cultural perspective on relations between profession and management," Social Science & Medicine, Elsevier, vol. 63(3), pages 757-775, August.
    8. Teh‐Wei Hu & Michael Ong & Zi‐Hua Lin & Elizabeth Li, 1999. "The effects of economic reform on health insurance and the financial burden for urban workers in China," Health Economics, John Wiley & Sons, Ltd., vol. 8(4), pages 309-321, June.

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