SrasV1, PubMed, Corpus, bibRecord, 000D88

Universal health insurance coverage for 1.3 billion people: What accounts for China's success?

Identifieur interne : 000D88 ( PubMed/Corpus ); précédent : 000D87; suivant : 000D89

Universal health insurance coverage for 1.3 billion people: What accounts for China's success?

Auteurs : Hao Yu

Source :

Health policy (Amsterdam, Netherlands) [ 1872-6054 ] ; 2015.

RBID : pubmed:26251322

English descriptors

KwdEn :
- China, Cost Control (organization & administration), Disease Outbreaks, Financing, Government (organization & administration), Financing, Government (statistics & numerical data), Health Care Reform (organization & administration), Humans, Insurance, Health (organization & administration), Insurance, Health (statistics & numerical data), Politics, Program Evaluation, Reimbursement, Incentive (organization & administration), SARS Virus, Severe Acute Respiratory Syndrome (epidemiology), Universal Health Insurance (organization & administration), Universal Health Insurance (statistics & numerical data).
MESH :
- epidemiology : Severe Acute Respiratory Syndrome.
- organization & administration : Cost Control, Financing, Government, Health Care Reform, Insurance, Health, Reimbursement, Incentive, Universal Health Insurance.
- statistics & numerical data : Financing, Government, Insurance, Health, Universal Health Insurance.
- China, Disease Outbreaks, Humans, Politics, Program Evaluation, SARS Virus.

Abstract

China successfully achieved universal health insurance coverage in 2011, representing the largest expansion of insurance coverage in human history. While the achievement is widely recognized, it is still largely unexplored why China was able to attain it within a short period. This study aims to fill the gap. Through a systematic political and socio-economic analysis, it identifies seven major drivers for China's success, including (1) the SARS outbreak as a wake-up call, (2) strong public support for government intervention in health care, (3) renewed political commitment from top leaders, (4) heavy government subsidies, (5) fiscal capacity backed by China's economic power, (6) financial and political responsibilities delegated to local governments and (7) programmatic implementation strategy. Three of the factors seem to be unique to China (i.e., the SARS outbreak, the delegation, and the programmatic strategy.) while the other factors are commonly found in other countries' insurance expansion experiences. This study also discusses challenges and recommendations for China's health financing, such as reducing financial risk as an immediate task, equalizing benefit across insurance programs as a long-term goal, improving quality by tying provider payment to performance, and controlling costs through coordinated reform initiatives. Finally, it draws lessons for other developing countries.

DOI: 10.1016/j.healthpol.2015.07.008
PubMed: 26251322

Links to Exploration step

pubmed:26251322

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Universal health insurance coverage for 1.3 billion people: What accounts for China's success?</title>
<author><name sortKey="Yu, Hao" sort="Yu, Hao" uniqKey="Yu H" first="Hao" last="Yu">Hao Yu</name>
<affiliation><nlm:affiliation>RAND Corporation, USA. Electronic address: hao_yu@rand.org.</nlm:affiliation>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2015">2015</date>
<idno type="RBID">pubmed:26251322</idno>
<idno type="pmid">26251322</idno>
<idno type="doi">10.1016/j.healthpol.2015.07.008</idno>
<idno type="wicri:Area/PubMed/Corpus">000D88</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000D88</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Universal health insurance coverage for 1.3 billion people: What accounts for China's success?</title>
<author><name sortKey="Yu, Hao" sort="Yu, Hao" uniqKey="Yu H" first="Hao" last="Yu">Hao Yu</name>
<affiliation><nlm:affiliation>RAND Corporation, USA. Electronic address: hao_yu@rand.org.</nlm:affiliation>
</affiliation>
</author>
</analytic>
<series><title level="j">Health policy (Amsterdam, Netherlands)</title>
<idno type="eISSN">1872-6054</idno>
<imprint><date when="2015" type="published">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>China</term>
<term>Cost Control (organization & administration)</term>
<term>Disease Outbreaks</term>
<term>Financing, Government (organization & administration)</term>
<term>Financing, Government (statistics & numerical data)</term>
<term>Health Care Reform (organization & administration)</term>
<term>Humans</term>
<term>Insurance, Health (organization & administration)</term>
<term>Insurance, Health (statistics & numerical data)</term>
<term>Politics</term>
<term>Program Evaluation</term>
<term>Reimbursement, Incentive (organization & administration)</term>
<term>SARS Virus</term>
<term>Severe Acute Respiratory Syndrome (epidemiology)</term>
<term>Universal Health Insurance (organization & administration)</term>
<term>Universal Health Insurance (statistics & numerical data)</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Cost Control</term>
<term>Financing, Government</term>
<term>Health Care Reform</term>
<term>Insurance, Health</term>
<term>Reimbursement, Incentive</term>
<term>Universal Health Insurance</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Financing, Government</term>
<term>Insurance, Health</term>
<term>Universal Health Insurance</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>China</term>
<term>Disease Outbreaks</term>
<term>Humans</term>
<term>Politics</term>
<term>Program Evaluation</term>
<term>SARS Virus</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">China successfully achieved universal health insurance coverage in 2011, representing the largest expansion of insurance coverage in human history. While the achievement is widely recognized, it is still largely unexplored why China was able to attain it within a short period. This study aims to fill the gap. Through a systematic political and socio-economic analysis, it identifies seven major drivers for China's success, including (1) the SARS outbreak as a wake-up call, (2) strong public support for government intervention in health care, (3) renewed political commitment from top leaders, (4) heavy government subsidies, (5) fiscal capacity backed by China's economic power, (6) financial and political responsibilities delegated to local governments and (7) programmatic implementation strategy. Three of the factors seem to be unique to China (i.e., the SARS outbreak, the delegation, and the programmatic strategy.) while the other factors are commonly found in other countries' insurance expansion experiences. This study also discusses challenges and recommendations for China's health financing, such as reducing financial risk as an immediate task, equalizing benefit across insurance programs as a long-term goal, improving quality by tying provider payment to performance, and controlling costs through coordinated reform initiatives. Finally, it draws lessons for other developing countries. </div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26251322</PMID>
<DateCompleted><Year>2017</Year>
<Month>01</Month>
<Day>19</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>04</Month>
<Day>07</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-6054</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>119</Volume>
<Issue>9</Issue>
<PubDate><Year>2015</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Health policy (Amsterdam, Netherlands)</Title>
<ISOAbbreviation>Health Policy</ISOAbbreviation>
</Journal>
<ArticleTitle>Universal health insurance coverage for 1.3 billion people: What accounts for China's success?</ArticleTitle>
<Pagination><MedlinePgn>1145-52</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.healthpol.2015.07.008</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0168-8510(15)00186-4</ELocationID>
<Abstract><AbstractText>China successfully achieved universal health insurance coverage in 2011, representing the largest expansion of insurance coverage in human history. While the achievement is widely recognized, it is still largely unexplored why China was able to attain it within a short period. This study aims to fill the gap. Through a systematic political and socio-economic analysis, it identifies seven major drivers for China's success, including (1) the SARS outbreak as a wake-up call, (2) strong public support for government intervention in health care, (3) renewed political commitment from top leaders, (4) heavy government subsidies, (5) fiscal capacity backed by China's economic power, (6) financial and political responsibilities delegated to local governments and (7) programmatic implementation strategy. Three of the factors seem to be unique to China (i.e., the SARS outbreak, the delegation, and the programmatic strategy.) while the other factors are commonly found in other countries' insurance expansion experiences. This study also discusses challenges and recommendations for China's health financing, such as reducing financial risk as an immediate task, equalizing benefit across insurance programs as a long-term goal, improving quality by tying provider payment to performance, and controlling costs through coordinated reform initiatives. Finally, it draws lessons for other developing countries. </AbstractText>
<CopyrightInformation>Copyright © 2015 The Author. Published by Elsevier Ireland Ltd.. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yu</LastName>
<ForeName>Hao</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>RAND Corporation, USA. Electronic address: hao_yu@rand.org.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2015</Year>
<Month>07</Month>
<Day>28</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Ireland</Country>
<MedlineTA>Health Policy</MedlineTA>
<NlmUniqueID>8409431</NlmUniqueID>
<ISSNLinking>0168-8510</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>H</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N">China</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003363" MajorTopicYN="N">Cost Control</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004196" MajorTopicYN="N">Disease Outbreaks</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005380" MajorTopicYN="N">Financing, Government</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018166" MajorTopicYN="N">Health Care Reform</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007348" MajorTopicYN="N">Insurance, Health</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011057" MajorTopicYN="N">Politics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015397" MajorTopicYN="N">Program Evaluation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012052" MajorTopicYN="N">Reimbursement, Incentive</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D045473" MajorTopicYN="N">SARS Virus</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019472" MajorTopicYN="N">Universal Health Insurance</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">China</Keyword>
<Keyword MajorTopicYN="N">Health care reform</Keyword>
<Keyword MajorTopicYN="N">Health insurance</Keyword>
<Keyword MajorTopicYN="N">Universal coverage</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year>
<Month>01</Month>
<Day>27</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2015</Year>
<Month>07</Month>
<Day>10</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2015</Year>
<Month>07</Month>
<Day>20</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2015</Year>
<Month>8</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2015</Year>
<Month>8</Month>
<Day>8</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2017</Year>
<Month>1</Month>
<Day>20</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">26251322</ArticleId>
<ArticleId IdType="pii">S0168-8510(15)00186-4</ArticleId>
<ArticleId IdType="doi">10.1016/j.healthpol.2015.07.008</ArticleId>
<ArticleId IdType="pmc">PMC7114832</ArticleId>
</ArticleIdList>
<ReferenceList><Reference><Citation>Lancet. 2012 Sep 8;380(9845):924-32</Citation>
<ArticleIdList><ArticleId IdType="pubmed">22959389</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>J Health Econ. 2008 Jul;27(4):990-1005</Citation>
<ArticleIdList><ArticleId IdType="pubmed">18342963</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2012 Mar 3;379(9818):833-42</Citation>
<ArticleIdList><ArticleId IdType="pubmed">22386036</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Soc Sci Med. 2011 Apr;72(8):1302-9</Citation>
<ArticleIdList><ArticleId IdType="pubmed">21439699</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2008 Oct 25;372(9648):1493-501</Citation>
<ArticleIdList><ArticleId IdType="pubmed">18930531</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2012 Mar 3;379(9818):782-3</Citation>
<ArticleIdList><ArticleId IdType="pubmed">22386015</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>BMJ. 2010 Oct 21;341:c5617</Citation>
<ArticleIdList><ArticleId IdType="pubmed">20966008</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2008 Nov 29;372(9653):1865-1867</Citation>
<ArticleIdList><ArticleId IdType="pubmed">18930539</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2008 Nov 15;372(9651):1715-6</Citation>
<ArticleIdList><ArticleId IdType="pubmed">18930524</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Soc Sci Med. 1995 Oct;41(8):1047-55</Citation>
<ArticleIdList><ArticleId IdType="pubmed">8578327</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2012 Sep 8;380(9845):861-2</Citation>
<ArticleIdList><ArticleId IdType="pubmed">22959371</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Soc Sci Med. 2006 Dec;63(12):3113-23</Citation>
<ArticleIdList><ArticleId IdType="pubmed">16978751</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Bull World Health Organ. 1989;67(4):431-41</Citation>
<ArticleIdList><ArticleId IdType="pubmed">2805221</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Soc Sci Med. 2009 Aug;69(3):387-95</Citation>
<ArticleIdList><ArticleId IdType="pubmed">19520475</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2008 Nov 22;372(9652):1846-53</Citation>
<ArticleIdList><ArticleId IdType="pubmed">18930520</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>N Engl J Med. 2005 Sep 15;353(11):1165-70</Citation>
<ArticleIdList><ArticleId IdType="pubmed">16162889</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Health Policy. 1995 Apr-Jun;32(1-3):181-91</Citation>
<ArticleIdList><ArticleId IdType="pubmed">10156638</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Health Econ. 2009 Jul;18 Suppl 2:S25-46</Citation>
<ArticleIdList><ArticleId IdType="pubmed">19551752</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Health Aff (Millwood). 2008 Jul-Aug;27(4):937-48</Citation>
<ArticleIdList><ArticleId IdType="pubmed">18607026</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Soc Sci Med. 1995 Oct;41(8):1111-8</Citation>
<ArticleIdList><ArticleId IdType="pubmed">8578334</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2012 Mar 3;379(9818):805-14</Citation>
<ArticleIdList><ArticleId IdType="pubmed">22386034</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Bull World Health Organ. 2008 Dec;86(12):914-5</Citation>
<ArticleIdList><ArticleId IdType="pubmed">19142288</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Am J Public Health. 2004 Nov;94(11):1864-74</Citation>
<ArticleIdList><ArticleId IdType="pubmed">15514221</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Int J Qual Health Care. 2001 Apr;13(2):117-25</Citation>
<ArticleIdList><ArticleId IdType="pubmed">11430661</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Lancet. 2006 May 13;367(9522):1564-5</Citation>
<ArticleIdList><ArticleId IdType="pubmed">16703674</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Health Policy. 2002 May;60(2):133-50</Citation>
<ArticleIdList><ArticleId IdType="pubmed">11897373</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Soc Sci Med. 1999 Apr;48(7):961-72</Citation>
<ArticleIdList><ArticleId IdType="pubmed">10192562</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Health Econ. 2009 Jan;18(1):103-19</Citation>
<ArticleIdList><ArticleId IdType="pubmed">18283715</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Int J Health Plann Manage. 2004 Apr-Jun;19(2):101-11</Citation>
<ArticleIdList><ArticleId IdType="pubmed">15239207</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
<ReferenceList><Reference><Citation>Int J Equity Health. 2009 Dec 09;8:42</Citation>
<ArticleIdList><ArticleId IdType="pubmed">20003188</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SrasV1/Data/PubMed/Corpus

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000D88 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd -nk 000D88 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    SrasV1
   |flux=    PubMed
   |étape=   Corpus
   |type=    RBID
   |clé=     pubmed:26251322
   |texte=   Universal health insurance coverage for 1.3 billion people: What accounts for China's success?
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i   -Sk "pubmed:26251322" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd   \
       | NlmPubMed2Wicri -a SrasV1

This area was generated with Dilib version V0.6.33.
Data generation: Tue Apr 28 14:49:16 2020. Site generation: Sat Mar 27 22:06:49 2021

	Serveur d'exploration SRAS
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration SRAS

Universal health insurance coverage for 1.3 billion people: What accounts for China's success?

Universal health insurance coverage for 1.3 billion people: What accounts for China's success?

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki