IR@PKUHSC  > 北京大学中国卫生发展研究中心
学科主题公共卫生
Progress and challenges of the rural cooperative medical scheme in China
Meng, Qingyue1; Xu, Ke2
刊名BULLETIN OF THE WORLD HEALTH ORGANIZATION
2014-06-01
DOI10.2471/BLT.13.131532
92期:6页:447-451
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Public, Environmental & Occupational Health
研究领域[WOS]Public, Environmental & Occupational Health
英文摘要

Problem During China′s transition to a market economy in the 1980s and 1990s, the rural population faced substantial barriers to accessing health care and encountered heavier financial burdens than urban residents in paying for necessary health services.

Approach In 2003, China started to implement a rural cooperative medical scheme (RCMS), mainly through government subsidies. The scheme operates at the county level and offers a modest benefit package.

Local setting In spite of rapid economic growth since the early 1980s, income disparities in China have increased, particularly between rural and urban populations. In response, the government has put greater emphasis on social development, including health system development. Examples are the prioritization of improved access to health services and the reduction of the burden of payment for necessary services.

Relevant changes After 10 years of implementation, the RCMS now provides coverage to the entire rural population and has substantially improved access. to health care. Yet despite a drop in out-of-pocket payments as a proportion of total health expenditure, paying for necessary services continues to cause financial hardship for many rural residents.

Lessons learnt In its first decade, the RCMS made progress through political mobilization, government subsidies, the readiness of the health-care delivery system, and the availability of a monitoring and evaluation system. Further improving the RCMS will require a focus on cost containment, quality improvement and making the scheme portable.

语种英语
WOS记录号WOS:000338409600013
引用统计
被引频次:24[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52775
专题北京大学中国卫生发展研究中心
作者单位1.WHO, Western Pacific Reg Off, Manila, Philippines
2.Peking Univ, China Ctr Hlth Dev Studies, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Meng, Qingyue,Xu, Ke. Progress and challenges of the rural cooperative medical scheme in China[J]. BULLETIN OF THE WORLD HEALTH ORGANIZATION,2014,92(6):447-451.
APA Meng, Qingyue,&Xu, Ke.(2014).Progress and challenges of the rural cooperative medical scheme in China.BULLETIN OF THE WORLD HEALTH ORGANIZATION,92(6),447-451.
MLA Meng, Qingyue,et al."Progress and challenges of the rural cooperative medical scheme in China".BULLETIN OF THE WORLD HEALTH ORGANIZATION 92.6(2014):447-451.
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