| Titre : | Economic of health insurance in low and middle-income countries. The reform of the rural cooperative medical system in the People's Republic of China : interim experience in 14 pilot counties. (1999) |
| Auteurs : | G. CARRIN ; CHEN JIAYING . (.) ; Diana DE GRAEVE, éd. ; JIANG QICHENG . (.) ; LI XUESHENG . (.) ; A. RON ; WANG HONG . (.) ; YANG HUI . (.) ; YE YIDE . (.) ; YU JUN . (.) ; ZHANG LICHENG . (.) ; ZHANG SHUO . (.) ; ZHANG TUOHONG . (.) ; ZHANG ZHAOYANG . (.) ; Department of Medical Administration. Ministry of Health. Beijing. CHN ; Health Research for Action Hera. BEL ; Training Centre for Health Management. Anhui Medical University. Anhui. CHN ; Training Centre for Health Management. School of Public Health Beijing Medical University. Anhui. CHN ; University of Antwerp. Antwerp. BEL ; Vereniging voor Gezondheidseconomie Vge. INC ; World Health Organization (WHO) (Geneva, CHE) ; International Conference on the Economics of health insurance in low and middle-income countries. (17/01/1997; Antwerp. BEL) |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 48, n° 7, 1999) |
| Pagination : | 961-972 |
| Langues: | Anglais |
| Mots-clés : | Chine ; Asie ; Politique santé ; Système santé ; Protection sociale ; Financement protection sociale ; Financement ; Economie santé ; Réforme |
| Résumé : | [BDSP. Notice produite par INIST WYNR0xmu. Diffusion soumise à autorisation]. During the 1960's and 1970's the Chinese government encouraged the'rural cooperative medical systems' (RCMS), in order to ensure access to basic health care among the rural population. There was a break in the development of the RCMS in the early 1980's, as a consequence of market economic reforms. These reforms involved a shift from a communal to a household production system. As a result the collective way of financing rural health care was more or less abandoned. However, the government of the People's Republic of China was aware of the need to provide social protection against health care expenses. In March 1994 the government initiated a project to reestablish the RCMS. This project was implemented on a pilot basis in 14 counties of seven provinces. The reestablishment of the RCMS would be guided by the basic principles of health insurance. In October 1995, a first mid-term evaluation of the RCMS Project was held. One of the major research questions concerned the extent to which the RCMS had reduced the risk of paying health care hills that would otherwise be a burden on families. This article addresses this question and assesses the results obtained after two years of RCMS experimental work. A general finding is that the population structure by occupation and income varies, and that the RCMS has adapted itself to this variety. (...) |
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