Health Reform in China: Three Years After

2012 ◽  
Vol 04 (03) ◽  
pp. 5-16
Author(s):  
Jiwei QIAN
Keyword(s):  
Health System ◽  
Health Reform ◽  
Health Expenditure ◽  
Quality Of Services ◽  
Total Health Expenditure ◽  
Government Health ◽  
Government Health Expenditure

In 2009, China initiated a new round of health reform to establish a well functioning health system by 2020. Local pilot reforms were encouraged for all five components of the health reform. Between 2009 and 2011, the growth in government health expenditure was a hefty RMB1.24 trillion. Three years on, total health expenditure was over RMB2.2 trillion, or about 4.8% of GDP in 2011. Issues that remain to be tackled include addressing the incentives of providers and insurers as well as improving quality of services and medicines.

scholarly journals Health care financing in China prior to health reform 2009

2013 ◽  
Vol 1 (2) ◽  
pp. 46-64
Author(s):  
JR Khatri ◽  
Xiao Shuiyuan
Keyword(s):  
Health System ◽  
Health Reform ◽  
Health Expenditure ◽  
Health Financing ◽  
World Health ◽  
Total Health Expenditure ◽  
Financing System ◽  
Average Growth ◽  
Out Of Pocket Payments ◽  
Private Financing

Background and Objectives: The health system of China in 1970 was an exemplary model to the world but it began deteriorating after the economic reform in 1980. In order to address the deteriorating health system, government of China implemented the ambitious health reform program in 2009, with the aim to provide “safe, effective, convenient and affordable” health service to all people by 2020. In this study we try gain more insight about the health financing system of China prior to health system reform 2009. Methodology: Secondary data were collected from online data sets of World Health Organization (WHO), World Bank, Economic Co-operation and Development (OECD) and from publicly available reports and documents of related Ministries, and other published sources. Analysis was done with descriptive approach, focused on the three dimensions of health, namely the financing system: total health expenditure, financing source and financing scheme/agents. Results: China’s total health expenditure (THE) from 1995 to 2008 remained below 5% of GDP. From 1995 to 2001, the Government share on health expenditure decreased continuously and reached the lowest level of 36.4 % in 2001. Private financing was the primary funding mechanism and sources of revenue for private financing were private insurance and out-of-pocket payments. Household spending on health has increased with an average growth rate of 11.5 % from 2000 to 2008. Health financing scheme was social insurance type with fragmented risk pooling. Conclusions: Low level of public funding and heavy reliance on out-of-pocket payment were the major problem in the past decades. Hence the daunting problem of inadequate health financing ruled the last three decade of China health system. Janaki Medical College Journal of Medical Sciences (2013) Vol. 1 (2): 46-64 DOI: http://dx.doi.org/10.3126/jmcjms.v1i2.9270

scholarly journals How West African countries prioritize health

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Yusuff Adebayo Adebisi ◽  
Aishat Alaran ◽  
Abubakar Badmos ◽  
Adeola Oluwaseyi Bamisaiye ◽  
Nzeribe Emmanuella ◽  
...  
Keyword(s):  
Global Health ◽  
Burkina Faso ◽  
Health Expenditure ◽  
West African ◽  
Priority Index ◽  
Government Health ◽  
Health Priority ◽  
General Government ◽  
Government Health Expenditure ◽  
Average Health

Abstract Background The goal of Universal Health Coverage (UHC) is to ensure that everyone is able to obtain the health services they need without suffering financial hardship. UHC remains a mirage if government health expenditure is not improved. Health priority refers to general government health expenditure as a percentage of general government expenditure. It indicates the priority of the government to spend on healthcare from its domestic public resources. Our study aimed to assess health priorities in the Economic Community of West African States (ECOWAS) using the health priority index from the WHO’s Global Health Expenditure Database. Method We extracted and analysed data on health priority in the WHO’s Global Health Expenditure Database across the 15 members of the ECOWAS (Benin, Burkina Faso, Cabo Verde, Cote d'Ivoire, The Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Mali, Niger, Nigeria, Senegal, Sierra Leone, and Togo) from 2010 to 2018 to assess how these countries prioritize health. The data are presented using descriptive statistics. Results Our findings revealed that no West African country beats the cutoff of a minimum of 15% health priority index. Ghana (8.43%), Carbo Verde (8.29%), and Burkina Faso (7.60%) were the top three countries with the highest average health priority index, while Guinea (3.05%), Liberia (3.46%), and Guinea-Bissau (3.56%) had the lowest average health priority in the West African region within the period of our analysis (2010 to 2018). Conclusion Our study reiterates the need for West African governments and other relevant stakeholders to prioritize health in their political agenda towards achieving UHC.

Quality

2020 ◽  
pp. 166-183
Author(s):  
Julie Sin
Keyword(s):  
Health Services ◽  
Health System ◽  
Services Quality ◽  
Quality Care ◽  
System Level ◽  
Quality Of Services ◽  
Provider Perspective ◽  
Multidimensional Concept

This chapter looks at the topic of health services quality from a commissioning and whole population perspective. Quality is noted to be a multidimensional concept and dimensions of quality are considered. The role of the commissioner in maintaining and improving quality of services is explored, and this is seen within a wider backdrop of a health system with commissioner and provider functions (if there are such distinctions in the system). Commissioners need to know whether they are securing quality care for their population for the money spent. They also need an understanding of how this dovetails with the provider perspective on this topic. Commissioners also need to be able to articulate what they wish to assess in practice under the guise of quality. Finally, at a system level there are also bearings on how to compile and interpret a picture of a population’s health if needed.

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