Reforming China's Rural Health System
World Bank Publications, Jan 1, 2009 - Medical - 248 pages
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.
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adverse selection areas autonomy basic Beijing benefit package capacity capita catastrophic Center for Disease central government challenges chapter China copayments cost-effective costs county hospitals coverage covered deliver Development diagnosis-related groups Disease Control drugs example expenditure facilities Figure fund Gansu health care providers health financing health insurance schemes health sector health services health spending health system higher-level impact implementation incentives income increased inpatient Jiangsu Jiangxi Medical Assistance medical savings accounts ment Ministry monitoring mortality NRCMS contributions OECD out-of-pocket payments outpatient patients payment methods payment reforms percent population poverty line provider payment provinces public health public health activities public health interventions purchasing rates reduce regulation reimbursement revenues risk role rural health service delivery social health insurance staff supply-side subsidies targets THCs tion township health centers urban village clinics Wang World Bank Zhenjiang