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Industrialisation et Inégalités : Le recours aux soins en zones rurales chinoises

Author

Listed:
  • Carine Milcent

    (PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PSE - Paris-Jourdan Sciences Economiques - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École nationale des ponts et chaussées - CNRS - Centre National de la Recherche Scientifique, CEPREMAP - Centre pour la recherche économique et ses applications - ECO ENS-PSL - Département d'économie de l'ENS-PSL - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres)

Abstract

Alors que de nombreux travaux ont été effectués à propos de l'effet de l'assurance santé sur la demande de soins, l'effet de l'urbanisation, du processus d'industrialisation et les changements de l'offre de soins n'ont reçu jusqu'ici que peu d'attention. Les données mobilisées proviennent du China Health and Nutrition Survey (CHNS) couvrant la période 1991-2006. Avec le processus d'industrialisation, le nombre d'habitants des zones rurales ayant une activité agricole se réduit. Les zones rurales en voie d'urbanisation développent en priorité les systèmes de transport. L'offre de soins, sous l'impulsion de l'état central et provincial s'est modifiée. Les soins offerts sont de meilleure qualité, l'infrastructure publique s'est concentrée et est mieux équipée et une infrastructure privée et de proximité s'est développée. Par ailleurs, le financement public des établissements publics s'est fortement réduit et les établissements ont utilisé les médicaments et les actes de diagnostic comme générateur de profit. Au final, les habitants des zones rurales travaillant à l'extérieur et ayant un revenu conséquent ont accès à des soins de meilleure qualité qu'avant les réformes économiques. En revanche, les fermiers ayant un faible revenu et peu de mobilité ont vu leur situation se dégrader.

Suggested Citation

  • Carine Milcent, 2013. "Industrialisation et Inégalités : Le recours aux soins en zones rurales chinoises," Working Papers halshs-00826889, HAL.
    • Handle: RePEc:hal:wpaper:halshs-00826889
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-00826889v1
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    References listed on IDEAS

    as
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