Consolidating the social health insurance schemes in China: towards an equitable and efficient health system
Summary Fragmentation in social health insurance schemes is an important factor for inequitable access to health care and financial protection for people covered by different health insurance schemes in China. To fulfil its commitment of universal health coverage by 2020, the Chinese Government need...
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| Veröffentlicht in: | The Lancet (British edition) 2015-10, Vol.386 (10002), p.1484-1492 |
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| creator | Meng, Qingyue, Prof Fang, Hai, Prof Liu, Xiaoyun, PhD Yuan, Beibei, PhD Xu, Jin, BA |
| description | Summary Fragmentation in social health insurance schemes is an important factor for inequitable access to health care and financial protection for people covered by different health insurance schemes in China. To fulfil its commitment of universal health coverage by 2020, the Chinese Government needs to prioritise addressing this issue. After analysing the situation of fragmentation, this Review summarises efforts to consolidate health insurance schemes both in China and internationally. Rural migrants, elderly people, and those with non-communicable diseases in China will greatly benefit from consolidation of the existing health insurance schemes with extended funding pools, thereby narrowing the disparities among health insurance schemes in fund level and benefit package. Political commitments, institutional innovations, and a feasible implementation plan are the major elements needed for success in consolidation. Achievement of universal health coverage in China needs systemic strategies including consolidation of the social health insurance schemes. |
| doi_str_mv | 10.1016/S0140-6736(15)00342-6 |
| format | Article |
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To fulfil its commitment of universal health coverage by 2020, the Chinese Government needs to prioritise addressing this issue. After analysing the situation of fragmentation, this Review summarises efforts to consolidate health insurance schemes both in China and internationally. Rural migrants, elderly people, and those with non-communicable diseases in China will greatly benefit from consolidation of the existing health insurance schemes with extended funding pools, thereby narrowing the disparities among health insurance schemes in fund level and benefit package. Political commitments, institutional innovations, and a feasible implementation plan are the major elements needed for success in consolidation. 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To fulfil its commitment of universal health coverage by 2020, the Chinese Government needs to prioritise addressing this issue. After analysing the situation of fragmentation, this Review summarises efforts to consolidate health insurance schemes both in China and internationally. Rural migrants, elderly people, and those with non-communicable diseases in China will greatly benefit from consolidation of the existing health insurance schemes with extended funding pools, thereby narrowing the disparities among health insurance schemes in fund level and benefit package. Political commitments, institutional innovations, and a feasible implementation plan are the major elements needed for success in consolidation. Achievement of universal health coverage in China needs systemic strategies including consolidation of the social health insurance schemes.</description><subject>China</subject><subject>Government Programs - economics</subject><subject>Government Programs - trends</subject><subject>Health care access</subject><subject>Health care policy</subject><subject>Health Care Reform - economics</subject><subject>Health Care Reform - trends</subject><subject>Health insurance</subject><subject>Health Services Accessibility - economics</subject><subject>Health Services Accessibility - trends</subject><subject>Health Status Disparities</subject><subject>Healthcare Disparities - economics</subject><subject>Healthcare Disparities - trends</subject><subject>Healthcare Financing</subject><subject>Humans</subject><subject>Insurance, Health - economics</subject><subject>Insurance, Health - organization & administration</subject><subject>Insurance, Health - trends</subject><subject>Internal Medicine</subject><subject>National health insurance</subject><subject>Rural Health - economics</subject><subject>Rural Health - trends</subject><subject>Universal Coverage - economics</subject><subject>Universal Coverage - trends</subject><subject>Urban Health - economics</subject><subject>Urban Health - 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care and financial protection for people covered by different health insurance schemes in China. 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| subjects | China Government Programs - economics Government Programs - trends Health care access Health care policy Health Care Reform - economics Health Care Reform - trends Health insurance Health Services Accessibility - economics Health Services Accessibility - trends Health Status Disparities Healthcare Disparities - economics Healthcare Disparities - trends Healthcare Financing Humans Insurance, Health - economics Insurance, Health - organization & administration Insurance, Health - trends Internal Medicine National health insurance Rural Health - economics Rural Health - trends Universal Coverage - economics Universal Coverage - trends Urban Health - economics Urban Health - trends |
| title | Consolidating the social health insurance schemes in China: towards an equitable and efficient health system |
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