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Author : Zihua Lin
Publisher :
ISBN 13 :
Total Pages : 452 pages
Book Rating : 4.:/5 (34 download)
Download or read book Demand for Health Insurance and Demand for Health Care in Rural China written by Zihua Lin and published by . This book was released on 2000 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309254094
Total Pages : 486 pages
Book Rating : 4.3/5 (92 download)
Download or read book Aging in Asia written by National Research Council and published by National Academies Press. This book was released on 2012-07-31 with total page 486 pages. Available in PDF, EPUB and Kindle. Book excerpt: The population of Asia is growing both larger and older. Demographically the most important continent on the world, Asia's population, currently estimated to be 4.2 billion, is expected to increase to about 5.9 billion by 2050. Rapid declines in fertility, together with rising life expectancy, are altering the age structure of the population so that in 2050, for the first time in history, there will be roughly as many people in Asia over the age of 65 as under the age of 15. It is against this backdrop that the Division of Behavioral and Social Research at the U.S. National Institute on Aging (NIA) asked the National Research Council (NRC), through the Committee on Population, to undertake a project on advancing behavioral and social research on aging in Asia. Aging in Asia: Findings from New and Emerging Data Initiatives is a peer-reviewed collection of papers from China, India, Indonesia, Japan, and Thailand that were presented at two conferences organized in conjunction with the Chinese Academy of Sciences, Indian National Science Academy, Indonesian Academy of Sciences, and Science Council of Japan; the first conference was hosted by the Chinese Academy of Social Sciences in Beijing, and the second conference was hosted by the Indian National Science Academy in New Delhi. The papers in the volume highlight the contributions from new and emerging data initiatives in the region and cover subject areas such as economic growth, labor markets, and consumption; family roles and responsibilities; and labor markets and consumption.
Author : Yuansheng Jiang
Publisher : Peter Lang Publishing
ISBN 13 : 9780820473123
Total Pages : 205 pages
Book Rating : 4.4/5 (731 download)
Download or read book Health Insurance Demand and Health Risk Management in Rural China written by Yuansheng Jiang and published by Peter Lang Publishing. This book was released on 2004-01-01 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: Good health is widely believed to be intimately associated with economic growth and development. A number of governments of developing countries have been combating poverty and boosting development through providing adequate access to health care. However, developing countries have been constrained by the limited governmental revenue. Thus, additional resources should be mobilized through appropriate instruments. Health insurance is a highly practical instrument. However, health insurance in rural areas is problematic and the demand for private health insurance and community-based health insurance scheme is inadequate. Taking China as an example, this study estimates the demand for health insurance and analyzes the health risk management of rural households."
Author : Jeffrey Sine
Publisher :
ISBN 13 :
Total Pages : 148 pages
Book Rating : 4.3/5 (91 download)
Download or read book Demand for Episodes of Care in the China Health Insurance Experiment written by Jeffrey Sine and published by . This book was released on 1994 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: The China Health Insurance Experiment (CHIE) was designed to test insurance as an alternative for health care financing in rural China. Six experimental groups were assigned to different insurance plans in 1989; each group switched to a new plan in 1990. The insurance plans differed according to coinsurance rates. In this study, data from 7,333 panel sample enrollees were used to estimate outpatient and inpatient demand functions for episodes of care. Demand functions were estimated using negative binomial regression (NBR); coinsurance elasticities were also estimated using first difference (fixed effects) models to reduce bias from unobserved heterogeneity. The principal findings are: (1) in rural China coinsurance exerts a significant and negative effect on demand; (2) coinsurance effects are similar for different population sub-groups and for different types of episodes; (3) elasticities of demand varied according to access to care conditions; (4) patterns of socio-demographic effects were similar to those reported on North American populations. These results provide support for proponents of health insurance as a primary means of financing rural health services in low-income developing countries.
Author : Armin Müller
Publisher : Taylor & Francis
ISBN 13 : 1317230051
Total Pages : 223 pages
Book Rating : 4.3/5 (172 download)
Download or read book China's New Public Health Insurance written by Armin Müller and published by Taylor & Francis. This book was released on 2016-11-25 with total page 223 pages. Available in PDF, EPUB and Kindle. Book excerpt: Especially since the 2003 SARS crisis, China’s healthcare system has become a growing source of concern, both for citizens and the Chinese government. China’s once praised public health services have deteriorated into a system driven by economic constraints, in which poor people often fail to get access, and middle-income households risk to be dragged into poverty by the rising costs of care. The New Rural Co-operative Medical System (NRCMS) was introduced to counter these tendencies and constitutes the main system of public health insurance in China today. This book outlines the nature of the system, traces the processes of its enactment and implementation, and discusses its strengths and weaknesses. It argues that the contested nature of the fields of health policy and social security has long been overlooked, and reinterprets the NRCMS as a compromise between opposing political interests. Furthermore, it argues that structural institutional misfits facilitate fiscal imbalances and a culture of non-compliance in local health policy, which distort the outcomes of the implementation and limit the effectiveness of insurance. These dynamics also raise fundamental questions regarding the effectiveness of other areas of the comprehensive New Health Reform, which China has initiated to overhaul its healthcare system.
Author : Lawton Robert Burns
Publisher : Cambridge University Press
ISBN 13 : 1316738396
Total Pages : 744 pages
Book Rating : 4.3/5 (167 download)
Download or read book China's Healthcare System and Reform written by Lawton Robert Burns and published by Cambridge University Press. This book was released on 2017-01-26 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.
Author : Honggui Zhang
Publisher :
ISBN 13 :
Total Pages : 362 pages
Book Rating : 4.:/5 (33 download)
Download or read book Need, Demand, and Distribution of Rural Primary Health Care Services in China written by Honggui Zhang and published by . This book was released on 1995 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : China Development Research Foundation
Publisher : Routledge
ISBN 13 : 1000051781
Total Pages : 517 pages
Book Rating : 4.0/5 ( download)
Download or read book China's Commercial Health Insurance written by China Development Research Foundation and published by Routledge. This book was released on 2020-08-18 with total page 517 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the financing of China’s health system, argues that present arrangements are not adequate and proposes an increased role for commercial health insurance as a way of overcoming the difficulties. Highlighting that China’s present social medical insurance system can only cover basic medical services, with the results that many Chinese people with higher income are going abroad for high-quality medical services and that doctors are not bringing in the salaries and obtaining the social status they expect, the book suggests that commercial health insurance offers a possible solution, in that it can help meet the demand of higher-income groups for better healthcare services while at the same time increasing the income of more competent medical professionals. The book goes on to consider the current state of China’s commercial insurance industry, outlining the various challenges that the industry needs to overcome if it is to fulfil an increased role, challenges such as greater specialization, increased capacity, structural reform, improved regulation and closer integration with China’s medical reform programme.
Author :
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 40 pages
Book Rating : 4./5 ( download)
Download or read book Extending Health Insurance to the Rural Population written by and published by World Bank Publications. This book was released on 2007 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: In 2003, after over 20 years of minimal health insurance coverage in rural areas, China launched a heavily subsidized voluntary health insurance program for rural residents. The authors use program and household survey data, as well as health facility census data, to analyze factors affecting enrollment into the program and to estimate its impact on households and health facilities. They obtain estimates by combining differences-in-differences with matching methods. The authors find some evidence of lower enrollment rates among poor households, holding other factors constant, and higher enrollment rates among households with chronically sick members. The household and facility data point to the scheme significantly increasing both outpatient and inpatient utilization (by 20-30 percent), but they find no impact on utilization in the poorest decile. For the sample as a whole, the authors find no statistically significant effects on average out-of-pocket spending, but they do find some-albeit weak-evidence of increased catastrophic health spending. For the poorest decile, by contrast, they find that the scheme increased average out-of-pocket spending but reduced the incidence of catastrophic health spending. They find evidence that the program has increased ownership of expensive equipment among central township health centers but had no impact on cost per case.
Author : World Bank
Publisher : World Bank Publications
ISBN 13 : 9780821340486
Total Pages : 96 pages
Book Rating : 4.3/5 (44 download)
Download or read book Financing Health Care written by World Bank and published by World Bank Publications. This book was released on 1997-01-01 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt: Food, consumption, demand, agricultural research, fertilizer, land, water resources, infrastructure, domestic grain, international grain market, economy, business, markets, tariffs, environment, health, productivity, pollution, energy, industry, water, urban transportation, pension reform, elderly, education, employment, rural, urban, income, poverty.
Author : Liming Lu
Publisher : Open Dissertation Press
ISBN 13 : 9781361020456
Total Pages : 42 pages
Book Rating : 4.0/5 (24 download)
Download or read book HEALTH INSURANCE & ITS IMPACT written by Liming Lu and published by Open Dissertation Press. This book was released on 2017-01-26 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation, "Health Insurance and Its Impact on Access to Health Care in China" by Liming, Lu, 卢立铭, was obtained from The University of Hong Kong (Pokfulam, Hong Kong) and is being sold pursuant to Creative Commons: Attribution 3.0 Hong Kong License. The content of this dissertation has not been altered in any way. We have altered the formatting in order to facilitate the ease of printing and reading of the dissertation. All rights not granted by the above license are retained by the author. Abstract: Background The transition to a market-oriented economy in China has created huge economic growth in the recent two decades. However, the health care system was transformed to the one that residents cannot afford health care services and some households are driven to poverty. This is mainly because of the rapid medical expense inflation and imbalanced health resources. The health insurance schemes, on the other hand, contribute to the accessible health care and financial part of individuals' out-of-pocket spending. The promotion of health insurance coverage, with strong association on access to health care, is crucial to utilization of health services under the current health care system. Methods This systematic review was conducted by electronic database searching PubMed, Google Scholar and CNKI published in recent 15 years. The keywords of "health insurance" OR "insurance scheme" AND "access to health care" OR "health care utilization" AND "urban China" OR "rural China" were used. 12 observational studies were identified and included in the systematic review. The STROBE Guideline was adopted for the quality assessment among these studies. Results Of the12 observational studies included in the systematic review, these studies were mainly focusing on New Cooperative Medical Scheme (NCMS) and Urban Resident Basic Medical Insurance (URBMI) Scheme and the relation with access to health care in recent decade in China. Household survey-based designs were the most commonly used method. Based on the results conducted in the studies, a preliminary outcome showed that health insurance enrollees had a positive effect on health care utilization. Both the NCMS and URBMI schemes have increased the utilization in health care, with different percentage, and the accessibility because of financial assistant and subsidization. Conclusion The health insurance schemes, both for NCMS and URBMI, have increased inpatient and outpatient utilization. Additionally, the schemes have reduced the cost of delivery, but it does not reduce the out-of-pocket payments on seeking health care in some regions. Lastly, policy implications and recommendations were made on the demand and supply sides in health care, as well as the financial protection regarding to the schemes. Overall, the health insurance schemes have made a remarkable achievement, but a lot more remains to be improved in the health care reform. Subjects: Health insurance - China Medical care - China
Author : David S. Weis
Publisher : BoD – Books on Demand
ISBN 13 : 3732239586
Total Pages : 206 pages
Book Rating : 4.7/5 (322 download)
Download or read book Universal Health Coverage in China written by David S. Weis and published by BoD – Books on Demand. This book was released on 2019-05-03 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study investigates the situation of Universal Health Care (UHC) in China from a health economic perspective. The first chapter introduces the historical background, analyzes the relevance of UHC and sheds light on the current health insurance status. In this chapter a new holistic health insurance theory is proposed that allows the inclusion of preventive medicine. The second chapter introduces the "Definition and concept" consisting of three dimensions: Firstly, the height dimension with the leading question "What proportion of the costs is covered?". Secondly, the depth dimension that is concerned with the question "Which benefits are covered?". This chapter puts a special focus on the important economic role of non-communicable diseases. Thirdly, the breadth dimension which investigates the question "Who is insured?". The third chapter, looking at the first dimension, found a high but shrinking amount of out-of-pocket payments and catastrophic health payments. Comparing the payment and benefit distributions, it found the ability to pay principle and insufficient separation of health service payments from its consumption. The second dimension discovered problems concerning the roles of ministries, financing and the benefit package. Reforming these areas will be necessary to provide people with appropriate health care. The third dimension showed that migrant workers are exposed to more health risks, have less access to health care and a lower health status. The de facto coverage rate for the Chinese population (including migrant workers) was calculated to be 81.19% in 2011 and 82.16% in 2020. The goals of the Chinese Communist Party (90% in 2011 and nearly 100% in 2020) are hence not reached. The study closes with a "Summary and conclusion, a "Boundaries and discussion" and an "Outlook" section.
Author : Carine Milcent
Publisher : Springer
ISBN 13 : 3319697366
Total Pages : 256 pages
Book Rating : 4.3/5 (196 download)
Download or read book Healthcare Reform in China written by Carine Milcent and published by Springer. This book was released on 2018-02-14 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: How efficient is the Chinese healthcare system? Milcent examines the medication market in China against the global picture of healthcare organization, and how public healthcare insurance plans have been implemented in recent years, as well as reforms to tackle hospital inefficiency. Healthcare reforms, demographic changes and an increase in wealth inequity have altered healthcare preferences, which need to be addressed. Significantly, the patient–medical staff relationship is analysed, with new proposals for different lines of communication. Milcent puts forward digital healthcare in China as a tool to solve inefficiency and rising tensions, and generate profit. Where China is leading in the digitalization of healthcare, other countries can learn important lessons. Chinese social models are also put into context with respect to current reforms and experimentation.
Author : Jin-wen Cai
Publisher :
ISBN 13 :
Total Pages : 52 pages
Book Rating : 4.:/5 (23 download)
Download or read book The Economic and Social Determinants of the Demand for Medical Care in a Rural Area in China written by Jin-wen Cai and published by . This book was released on 1989 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author :
Publisher : World Bank Publications
ISBN 13 : 0821379836
Total Pages : 276 pages
Book Rating : 4.8/5 (213 download)
Download or read book Reforming China's Rural Health System written by and published by World Bank Publications. This book was released on 2009-01-01 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 1978 when it embarked on sweeping agricultural and industrial reforms, China's economic growth has been remarkable. Its success in transforming itself within just three decades from a very poor low-income country to a successful middle-income country is unparalleled. During this period, however, and in contrast to the first 30 years of the People's Republic, progress in the health sector has been disappointing. For example, during the period 1980-2007, China increased its income per head as a percentage of the OECD average from 3 percent to 15 per cent, but infant mortality fell no faste.
Author :
Publisher : World Scientific
ISBN 13 : 9813236124
Total Pages : 1278 pages
Book Rating : 4.8/5 (132 download)
Download or read book Health Care Policy In East Asia: A World Scientific Reference (In 4 Volumes) written by and published by World Scientific. This book was released on 2019-11-25 with total page 1278 pages. Available in PDF, EPUB and Kindle. Book excerpt: During the past three decades, health care systems in the East Asian regions of China, Japan, South Korea, and Taiwan have undergone major changes. Each system has its unique achievements and challenges. Global health care policymakers are increasingly interested in understanding the changes that have taken place in these four systems. This four-volume reference set is designed to help health care professionals, academics, policymakers, and general readers gain a good grasp of the background and latest developments in the health care systems of China, Japan, South Korea, and Taiwan. This reference set provides an in-depth comparative health policy analysis and discussion of health care reform strategies in each of these systems. One unique feature of this set is that each volume has been edited by a leading scholar who has been deeply involved in the development of the health care system in that particular region. Each of these editors also has invited both scholars and practitioners to provide a first-hand description and analysis of key health care reform issues in that system. The many examples provided in each volume demonstrate how findings of evidence-based policy research can be implemented into policy practice.Volume 1 describes and discusses China's ambitious and complex journey of health care reform since 2009. The Chinese government has achieved universal health insurance coverage and has embarked on reforms of the service delivery system and provider payment methods that are aimed at controlling health expenditure growth and improving efficiency. This volume includes pilot and social experiments initiated by the government and researchers and their evaluations that have guided the formulation of health reform policies. It provides information on how to make reforms work at the local and provincial levels. The findings detailed in this volume will contribute to a global knowledge base in health care reforms.Volume 2 provides a comprehensive review and evaluation of the Japanese health care system. Japan has a long history of health care system development and provision of universal health coverage, with a mature and well-developed health care system among East Asian countries. However, due to increases in health care costs, economic stagnation and the country's rapidly aging population, Japan has undergone significant health care reform during the last two decades, both in the delivery as well as financing of health services in its hospital sector, medical technology sector and long-term care insurance. Despite these challenges and reforms, health outcomes among the Japanese population have been progressively among the best in the world. This volume shows how policy research can lead to policy analysis, implementation and assessment. It also provides valuable lessons learnt for mutual learning among other health care systems.Volume 3 offers a comprehensive review of the developments in South Korea's national health insurance system since 1989 in terms of financing, delivery systems, and outcomes. The volume analyzes the efficiency of cost and service delivery by public sectors versus private sectors. It points out areas of challenge to future Korean health care reform. Chapter authors in this volume are leading experts involved in Korean health care policy implementation.Volume 4 reviews the development and achievements of Taiwan Health Insurance since 1995. Because of its continuous reform in payment, services delivery, and pharmaceutical technology, Taiwan has been considered a model example of universal health insurance among global health systems. This volume shows the processes used to translate policy research findings into policy changes. While the health care reform in Taiwan is ongoing, the Taiwan example provides a real-world and practical understanding of health care system changes.In summary, this four-volume set makes an outstanding contribution to health care system reform and policy research, based on solid scholarly work. It also introduces policy researchers and academic communities to current debates about health systems, health financing, and universal health coverage. This reference volume is a must for anyone keen on East Asia's health care system reform dynamics and changing scene.
Author : H. Naci Mocan
Publisher :
ISBN 13 :
Total Pages : 58 pages
Book Rating : 4.:/5 (318 download)
Download or read book The Demand for Medical Care in Urban China written by H. Naci Mocan and published by . This book was released on 2000 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first paper to investigate the determinants of the demand for medical care in the People's Republic of China. It uses a data set that consists of detailed characteristics of 6407 urban households, a continuous measure of health care spending, and price. A two-part model and a discrete factor model are used in the estimation. Household characteristics and work conditions impact the demand for medical care. Income elasticity is around 0.3, indicating medical care is a necessity. Medical care demand is price inelastic, and price elasticity is larger in absolute value for poorer households.
