Health policy reform in China: Lessons from Asia

被引:90
作者
Ramesh, M. [1 ]
Wu, Xun [2 ]
机构
[1] Univ Hong Kong, Dept Social Work & Social Adm, Hong Kong, Hong Kong, Peoples R China
[2] Natl Univ Singapore, Lee Kuan Yew Sch Publ Policy, Singapore 117548, Singapore
关键词
Health system reform; Health policy; China; Thailand; Singapore; Korea; Financing reforms; Provider behaviour; Insurance schemes; Cost containment; MEDICAL SAVINGS ACCOUNTS; FOR-PROFIT; DEVELOPING-COUNTRIES; CARE-SYSTEM; INSURANCE; SINGAPORE; COSTS; EXPERIENCE; HOSPITALS; IMPACT;
D O I
10.1016/j.socscimed.2009.03.038
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
Declining access to health care and rapidly rising health expenditures are a matter of grave public concern in China. After decades of efforts to reduce its involvement, the Chinese government is currently in the process of reforming the sector through increase in public expenditures and expansion of health insurance. The objective of this paper is to assess the potential of the reform direction in light of international experiences with similar reforms. It argues - on the basis of examination of reform experiences in Korea, Singapore and Thailand - that financing reforms without parallel measures to improve the provision system, especially how providers are paid, are unlikely to address the problems and may actually aggravate them. If the financing reforms are to succeed, it is vital for China to reform the incentives that guide the providers' behaviour. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2256 / 2262
页数:7
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