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Considerations on fundamental issues in establishing a universal coverage system for health in China
Author(s) -
Lei Hai Chao
Publication year - 2008
Publication title -
journal of evidence‐based medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.885
H-Index - 22
ISSN - 1756-5391
DOI - 10.1111/j.1756-5391.2008.00001.x
Subject(s) - china , universal coverage , political science , risk analysis (engineering) , engineering ethics , computer science , business , engineering , health policy , health care , law
This study discusses basic health services in China. In this study common sense and international experience in establishing a high‐performing health system were introduced. Five components are identified: basic qualified human resources for health; basic infrastructure; essential medicines; essential technology and procedures; and basic service pathways. Recommendations were presented based upon the Chinese situation. They are: increase public financing and lower private out‐of‐pocket payment for services; revitalize the functions of public facilities; merge different health financing schemes; co‐ordinate public fiscal and pricing policies; prioritize public financing to preventive and primary healthcare; establish and strengthen the partnership between public and private facilities and insurance schemes; and re‐organize the administrative system in health‐based upon the rules of simplicity, unity, and efficiency.