The reform of the rural cooperative medical system in the People's Republic of China : interim experience in 14 pilot counties.
International Conference on the Economics of health insurance in low and middle-income countries. Antwerp, BEL, 1997/01/17.
During the 1960's and 1970's the Chinese government encouraged the'rural cooperative medical systems' (RCMS), in order to ensure access to basic health care among the rural population.
There was a break in the development of the RCMS in the early 1980's, as a consequence of market economic reforms.
These reforms involved a shift from a communal to a household production system.
As a result the collective way of financing rural health care was more or less abandoned.
However, the government of the People's Republic of China was aware of the need to provide social protection against health care expenses.
In March 1994 the government initiated a project to reestablish the RCMS.
This project was implemented on a pilot basis in 14 counties of seven provinces.
The reestablishment of the RCMS would be guided by the basic principles of health insurance.
In October 1995, a first mid-term evaluation of the RCMS Project was held.
One of the major research questions concerned the extent to which the RCMS had reduced the risk of paying health care hills that would otherwise be a burden on families.
This article addresses this question and assesses the results obtained after two years of RCMS experimental work.
A general finding is that the population structure by occupation and income varies, and that the RCMS has adapted itself to this variety. (...)
Mots-clés Pascal : Chine, Asie, Politique sanitaire, Système santé, Protection sociale, Financement, Economie santé, Collectivité, Coopération, Réforme, Pays transition
Mots-clés Pascal anglais : China, Asia, Health policy, Health system, Welfare aids, Financing, Health economy, Collectivity, Cooperation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0167066
Code Inist : 002B30A01B. Création : 16/11/1999.