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China’s Healthcare Reform And Resources Redistribution: Lessons For Emerging Nations

Author

Listed:
  • Jia CUI

    (Northeast Normal University, P.R. China)

  • Shaomin HUANG

    (Lewis-Clark State College, United States of America)

  • Gerald RAMEY

    (Eastern Oregon University, United States of America)

Abstract

Following China’s recent economic growth and healthcare reform, medical services quickly merged into the market economy. The burden of healthcare expense on the Chinese people has become a serious political issue. This research project reviews the changes in health expenditures made during the last two decades. This paper explores the cause of this rapid change in the healthcare sector and analyzes the corresponding statistics during the entire economic reform period. In addition, the paper articulates that the lack of healthcare coverage existed even before the healthcare reform formally started. As a direct result of this reform, medical resources were quickly concentrated in urban hospitals and the individual out-of¬pocket expense as the share of total health expenditures sharply increased. Recommendations are made for further healthcare reform.

Suggested Citation

  • Jia CUI & Shaomin HUANG & Gerald RAMEY, 2009. "China’s Healthcare Reform And Resources Redistribution: Lessons For Emerging Nations," Review of Economic and Business Studies, Alexandru Ioan Cuza University, Faculty of Economics and Business Administration, issue 4, pages 27-42, November.
  • Handle: RePEc:aic:revebs:y:2009:i:4:cuij
    as

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    File URL: http://rebs.ro/resource/REBS_4/Research%20Paper/Cui,J_-_China_s_Healthcare_Reform_And_Resources.pdf
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    References listed on IDEAS

    as
    1. Zhang, Xiaobo & Kanbur, Ravi, 2005. "Spatial inequality in education and health care in China," China Economic Review, Elsevier, vol. 16(2), pages 189-204.
    2. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    3. Karen Eggleston & Winnie Yip, 2004. "Hospital Competition under Regulated Prices: Application to Urban Health Sector Reforms in China," International Journal of Health Economics and Management, Springer, vol. 4(4), pages 343-368, December.
    4. H. Holly Wang & Shaomin Huang & Linxiu Zhang & Scott Rozelle & Yuanyuan Yan, 2010. "A comparison of rural and urban healthcare consumption and health insurance," China Agricultural Economic Review, Emerald Group Publishing, vol. 2(2), pages 212-227, May.
    5. Khan, Azizur Rahman & Griffin, Keith & Riskin, Carl & Renwei, Zhao, 1993. "Sources of income inequality in post-reform China," China Economic Review, Elsevier, vol. 4(1), pages 19-35.
    6. Wagstaff, Adam & Lindelow, Magnus, 2008. "Can insurance increase financial risk?: The curious case of health insurance in China," Journal of Health Economics, Elsevier, vol. 27(4), pages 990-1005, July.
    7. Chen, Shaohua & Ravallion, Martin, 1996. "Data in transition: Assessing rural living standards in Southern China," China Economic Review, Elsevier, vol. 7(1), pages 23-56.
    8. Teh‐Wei Hu & Michael Ong & Zi‐Hua Lin & Elizabeth Li, 1999. "The effects of economic reform on health insurance and the financial burden for urban workers in China," Health Economics, John Wiley & Sons, Ltd., vol. 8(4), pages 309-321, June.
    9. West, Loraine A & Wong, Christine P W, 1995. "Fiscal Decentralization and Growing Regional Disparities in Rural China: Some Evidence in the Provision of Social Services," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 11(4), pages 70-84, Winter.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Healthcare; Economic transition; Redistribution; China;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • P21 - Political Economy and Comparative Economic Systems - - Socialist and Transition Economies - - - Planning, Coordination, and Reform

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