IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this article

The rural cooperative medical system in China: Background, development, achievement and problems

  • Jiang Zhongyi
  • He Xiurong
Registered author(s):

    Purpose – In recent years, the focus of the Chinese Government has deviated from economic growth to overall societal balance and harmony. One of the major policy adjustments is to strengthen the supply of public goods in rural areas and set up the rural cooperative medical system (RCMS) financed by both governments and farmers. The purpose of this paper is to outline the background, recent developments, achievements and problems of the RCMS and help people to understand the RCMS in China. Design/methodology/approach – This paper adopts a time approach, meaning the paper is organized by initiate background, system framework design, experiment and extension, achievement, problems and discussion about the RCMS development process. Findings – The Central Government intended to establish a new medical system in rural areas, so that farmers could protect themselves if they got sick. The paper finds that, with the help of the government, farmers have gradually accepted the medical cooperation system. The RCMS has rapidly been extended, and forms a basic medical security net for rural residents. The RCMS has achieved the initial goals of the policy reform: mitigating farmers' financial burden, increasing the number of visits to doctors, and reducing the cost of the RCMS. However, there are still some pending issues such as fund-raising, monitoring-efficiency, and medical targets that need to be solved. Originality/value – This paper is a general review, which provides a brief and general image of the Chinese RCMS and helps people to understand the RCMS in China.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

    File URL:
    Download Restriction: Cannot be freely downloaded

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Article provided by Emerald Group Publishing in its journal China Agricultural Economic Review.

    Volume (Year): 1 (2009)
    Issue (Month): 1 (February)
    Pages: 73-81

    in new window

    Handle: RePEc:eme:caerpp:v:1:y:2009:i:1:p:73-81
    Contact details of provider: Web page:

    Order Information: Postal: Emerald Group Publishing, Howard House, Wagon Lane, Bingley, BD16 1WA, UK
    Web: Email:

    No references listed on IDEAS
    You can help add them by filling out this form.

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    When requesting a correction, please mention this item's handle: RePEc:eme:caerpp:v:1:y:2009:i:1:p:73-81. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Virginia Chapman)

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.