Observation of Implementation of Rural Hierarchical Diagnosis and Treatment Based on Chinese New Rural Cooperative Medical System

Volume 4, Issue 4, August 2019     |     PP. 41-51      |     PDF (206 K)    |     Pub. Date: December 22, 2019
DOI:    210 Downloads     6385 Views  

Author(s)

Xiong Chen, Mental Health Center, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei 442000, China
Jia Liu, Department of Sleep Disorders, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei 442000, China
Xi Wang, Department of Sleep Disorders, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei 442000, China
Jingping Mu, Dean's Office, Yunyang District Hospital of Traditional Chinese Medicine, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei 442000, China
Chunqi Ai, Mental Health Center, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei 442000, China

Abstract
The impact of Chinese new rural cooperative medical policy which has been implemented for nearly forty years on rural hierarchical diagnosis and treatment has been stated generally through existing related reports in the Paper. It is found that the policy cannot promote implementation of county-township-village diagnosis and treatment in the rural area. Although it has improved economic condition of medical and health institutions in villages and towns and village clinics to a certain degree, it cannot promote increase of total persons-times of medical services provided for local farmers by medical and health institutions in villages and towns or divert rural cooperative patients to medical and health institutions in villages and towns. Most of them will still select to see doctors in medical institutions of country level or above, which is of little significance to rural hierarchical diagnosis and treatment. At the same time, with reference to private insurance policy of Australia, some personal suggestions and measures for implementation of rural hierarchical diagnosis and treatment have been discussed.

Keywords
China; new rural cooperative; medical policies; hierarchical diagnosis and treatment; medical centers in villages and towns; stated generally

Cite this paper
Xiong Chen, Jia Liu, Xi Wang, Jingping Mu, Chunqi Ai, Observation of Implementation of Rural Hierarchical Diagnosis and Treatment Based on Chinese New Rural Cooperative Medical System , SCIREA Journal of Economics. Volume 4, Issue 4, August 2019 | PP. 41-51.

References

[ 1 ] Liu X, Xu L, Wang S. Reforming China's 50,000 township hospitals- effectiveness, challenges and opportunities[J]. Health Policy. 1996; 38(1):13-29.
[ 2 ] China National Health Economics Institute. Assessing government health expenditure in China[N]. Washington (DC): World Bank; 2005 Oct.
[ 3 ] Wang S. China's health system: from crisis to opportunity[J]. Yale-China Health Journal. 2004;3:5-50.
[ 4 ] Liu X, Yi Y. The health sector in China: policy and institutional review Washington (DC)[N]. World Bank; 2004.
[ 5 ] Akin J, Dow W, Lance P, Loh CP. Changes in access to health care in China, 1989-1997[J].. Health Policy Plan. 2005;20(2):80-9.
[ 6 ] Hsiao WC. Chinese health care system: lessons for other nations[J].. Soc Sci Med. 1995;41:1047-55.
[ 7 ] Blumenthal D, Hsiao WC. Privatization and its discontents: the evolving Chinese health care system[J].. N Engl J Med. 2005;353:1165-70.
[ 8 ] Yip W, Eggleston K. Addressing government and market failures with payment incentives: hospital reimbursement reform in Hainan, China[J].. Soc Sci Med. 2004;58: 267-77.
[ 9 ] Manuel R. China's health system and the next 20 years of reform. In: Garnaut R, Golley J, Song LG, editors. China: the next 20 years of reform and development. Canberra[N]. Australian National University Press; 2010. p. 363-92.
[ 10 ] Office of the World Health Organization Representative in China, Social Development Department of China State Council Development Research Center. China: health, poverty, and economic development [Internet]. Beijing: The Office; 2005 Dec [cited 2012 Apr 11]. Available from http://61.184.78.35:9000/rwt/605/http/http/P75YPLUYNBYT64LPPE/macro health/action/CMH_China.pdf.
[ 11 ] Lei X, Lin W. The New Cooperative Medical Scheme in rural China: does more coverage mean more service and better health?[J]. Health Econ 2009;18(S2):S25-46.
[ 12 ] Wagstaff A, Lindelow M, Wang S, Zhang S. Reforming China's rural health system. Washington (DC): World Bank; 2009.
[ 13 ] Ministry of Health, Department of Rural Health Management. New Rural Cooperative Medical Scheme in China[N]. Beijing: The Ministry; 2011.
[ 14 ] China health statistics yearbook. Beijing: Peking Union Medical College Press[A]; 2011.
[ 15 ] Brown P, deBrauw A, Du Y. Understanding variation in the design of China's New Cooperative Medical System[J]. China Q. 2009;198:304-29.
[ 16 ] Yi H, Zhang L, Luo R, Liu C. The status quo of the township health center and its functions in the New Cooperative Medical Scheme[J]. Zhongguo Weisheng Jingji, 2009; 28(6):56-58. Chinese.
[ 17 ] Wagstaff A, Lindelow M, Jun G, Ling X, Juncheng Q. Extending health insurance to the rural population: an impact evaluation of China's New Cooperative Medical Scheme[J]. J Health Econ. 2009;28(1):1-19.
[ 18 ] Sun X, Adrian S, Xue L. The impact of the New Cooperative Medical Scheme on township health centers[J]. Zhongguo Weisheng Jingji, 2006; 25:23-25. Chinese.
[ 19 ] By Kimberly S. Babiarz, Grant Miller,et al. China’s New Cooperative Medical
[ 20 ] Scheme Improved Finances Of Township Health Centers But Not The Number Of Patients Served. Health Affairs; Chevy Chase.2012;31: 1065-74.
[ 21 ] Babiarz KS, Miller G, Yi H, Zhang L, Rozelle S. New evidence on the impact of China's New Rural Cooperative Medical Scheme and its implications for rural primary care: multivariate difference-in-difference analysis[J].BMJ,. 2010;341:c5617.
[ 22 ] Peter E. Thomas BSc(Hons), MA.Reflections on the role of less-than-comprehensive (exclusionary) private health insurance hospital products in the Australian healthcare system[J].Australian Health Review, 2012, 36, 273–276.
[ 23 ] Butler J. Policy change and private health insurance: did the cheapest policy do the trick? [J].Aust Health Rev, 2002; 25: 33–41.
[ 24 ] Walker AE, Percival R, Thurecht L, Pearse J.Public policy and private health insurance: distributional impact on public and private hospital usage[J].Aust Health Rev 2007, 31(2):305–314.
[ 25 ] Harper RW, et al: Costs, charges and revenues of elective coronary angioplasty and stenting: the public versus the private system[J].Med J Aust, 2000, 173(6):296–300.