Moving towards universal health insurance in China: Performance, issues and lessons from Thailand
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Altmetric Citations
Li, Cheng; Yu, Xuan; Butler, James; Yiengprugsawan, Vasoontara; Yu, Min
Description
China is now in the course of implementing a new round of health system reforms. Universal health insurance coverage through the basic social medical insurance system is high on the reform agenda. This paper examines the performance of China's current social medical insurance system in terms of revenue collection, risk pooling, the benefit package, and provider payment mechanisms based on a literature review and publicly available data. On the basis of critical assessment, the paper attempts to...[Show more]
dc.contributor.author | Li, Cheng | |
---|---|---|
dc.contributor.author | Yu, Xuan | |
dc.contributor.author | Butler, James | |
dc.contributor.author | Yiengprugsawan, Vasoontara | |
dc.contributor.author | Yu, Min | |
dc.date.accessioned | 2015-12-10T22:12:23Z | |
dc.identifier.issn | 0277-9536 | |
dc.identifier.uri | http://hdl.handle.net/1885/49634 | |
dc.description.abstract | China is now in the course of implementing a new round of health system reforms. Universal health insurance coverage through the basic social medical insurance system is high on the reform agenda. This paper examines the performance of China's current social medical insurance system in terms of revenue collection, risk pooling, the benefit package, and provider payment mechanisms based on a literature review and publicly available data. On the basis of critical assessment, the paper attempts to address the issues challenging China as it moves towards universal coverage. Focusing in particular on the reform experience in Thailand as it implemented universal coverage, the following policy implications for further reform in China are articulated, taking into account China's particular circumstances: firstly, the gaps in the benefit package across different schemes should be further reduced; secondly, the prevailing fee-for-service payment system needs to be transformed; thirdly, the primary health care delivery and referral system needs to be strengthened in coordination with the reform of the health insurance system; and fourthly, raising the risk pooling level and integrating fragmented insurance schemes should be long-run objectives of reform. | |
dc.publisher | Elsevier | |
dc.source | Social Science and Medicine | |
dc.subject | Keywords: health care; health insurance; policy implementation; policy reform; reform process; article; China; health care cost; health care delivery; health care policy; health care quality; health care system; health insurance; health program; health service; hum China; Health care financing; Health insurance; Thailand; Universal coverage | |
dc.title | Moving towards universal health insurance in China: Performance, issues and lessons from Thailand | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 73 | |
dc.date.issued | 2011 | |
local.identifier.absfor | 111709 - Health Care Administration | |
local.identifier.ariespublication | u4468094xPUB189 | |
local.type.status | Published Version | |
local.contributor.affiliation | Li, Cheng, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Yu, Xuan, Third Military Medical University | |
local.contributor.affiliation | Butler, James, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Yiengprugsawan, Vasoontara, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Yu, Min, Fourth Military Medical University | |
local.description.embargo | 2037-12-31 | |
local.bibliographicCitation.issue | 3 | |
local.bibliographicCitation.startpage | 359 | |
local.bibliographicCitation.lastpage | 66 | |
local.identifier.doi | 10.1016/j.socscimed.2011.06.002 | |
dc.date.updated | 2016-02-24T11:08:20Z | |
local.identifier.scopusID | 2-s2.0-79960697775 | |
local.identifier.thomsonID | 000294399100003 | |
Collections | ANU Research Publications |
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