Linked Life Data

10160371

Source:http://linkedlifedata.com/resource/pubmed/id/10160371

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1996-10-18
pubmed:abstractText
China has undergone great economic and social change since 1978 with far reaching implications for the health care system and ultimately for the health status of the population. The Chinese Medical Reform of the 1980s made cost recovery a primary objective. The urban population is mostly protected by generous government health insurance. A high share government budget is allocated to urban health care. Rural cooperative health insurance reached a peak in the mid-1970s when 90% of the rural population were covered. In the 1980s rural cooperative health insurance collapsed and present coverage is less than 8%. The decline has been accompanied by reports of growing equity problems in the financing of and access to health care. This article is the first in a four-year study of the impact on equity of the changes in Chinese health care financing. The article examines the relationship between rural cooperative health insurance as the explanatory variable and health care expenditure, curative vs. preventive expenditure and tertiary curative care expenditure as dependent variables using a natural experimental design with a 'twin' county as a control. The findings support the hypothesis that cooperative health insurance will induce higher growth of health care expenditure. The findings also support the hypothesis that cooperative health insurance will lead to a shift from preventive medicine to curative medicine and to a higher level of tertiary curative care expenditure. The empirical evidence from the Chinese counties is contradicting World Bank health financing policies.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Asia, http://linkedlifedata.com/resource/pubmed/keyword/CHINA, http://linkedlifedata.com/resource/pubmed/keyword/Delivery Of Health Care--cost, http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Eastern Asia, http://linkedlifedata.com/resource/pubmed/keyword/Economic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Financial Activities, http://linkedlifedata.com/resource/pubmed/keyword/Financing, Government, http://linkedlifedata.com/resource/pubmed/keyword/HEALTH INSURANCE, http://linkedlifedata.com/resource/pubmed/keyword/Health, http://linkedlifedata.com/resource/pubmed/keyword/Population, http://linkedlifedata.com/resource/pubmed/keyword/Population Characteristics, http://linkedlifedata.com/resource/pubmed/keyword/Research Report, http://linkedlifedata.com/resource/pubmed/keyword/Rural Population
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
H
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0268-1080
pubmed:author
pubmed:issnType
Print
pubmed:volume
11
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
238-52
pubmed:dateRevised
2006-11-15
pubmed:otherAbstract
PIP: The considerable economic and social change experienced in China since 1978 has far-reaching implications for the country's health care system and its population's health status. The Chinese Medical Reform of the 1980s stressed cost recovery. While the urban population is largely protected by generous government health insurance, rural cooperative health insurance reached a peak in the mid-1970s. Rural cooperative health insurance collapsed during the 1980s, and present coverage is less than 8%. This collapse has been accompanied by reports of growing equity problems in the financing of and access to health care. The authors look at the relationship between rural cooperative health insurance as the explanatory variable and health care expenditure, curative versus preventive expenditure, and tertiary curative care expenditure as dependent variables using a natural experimental design with a twin county as a control. Study findings support the hypothesis that cooperative health insurance will induce higher growth of health care expenditures, a shift from preventive medicine to curative medicine, and a higher level of tertiary curative care expenditure. This empirical evidence contradicts World Bank health financing policies.
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
The cost of coverage: rural health insurance in China.
pubmed:affiliation
Division of International Health Care Research (IHCAR), Karolinska Institutet, Stockholm, Sweden.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't