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Financing rural health services in China in the context of economic reform
Author(s) -
Bloom Gerald,
ShengLan Tang,
XingYuan Gu
Publication year - 1995
Publication title -
journal of international development
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 66
eISSN - 1099-1328
pISSN - 0954-1748
DOI - 10.1002/jid.3380070307
Subject(s) - prepayment of loan , china , government (linguistics) , business , autonomy , economic growth , health care , face (sociological concept) , politics , context (archaeology) , health policy , cash , finance , political science , economics , sociology , paleontology , social science , linguistics , philosophy , law , biology
The changes which have taken place in the Chinese economy since the late 1970s have affected rural health services in a number of ways: local prepayment schemes have collapsed and most people pay in cash for medical care; health facilities have more autonomy from the government; and political mobilization for health has decreased. In the less developed parts of the country poor households cannot get the health services they require and health facilities face financial problems. China's policy makers face an imposing agenda of issues which could lead them towards a fundamental redefinition of the relationships between users and providers of health services, third‐party payers, local government health departments and local professional and community organizations.