Consolidating the social health insurance schemes in China: towards an equitable and efficient health system

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 pri...

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Vydané v:	The Lancet (British edition) Ročník 386; číslo 10002; s. 1484 - 1492
Hlavní autori:	Meng, Qingyue, Fang, Hai, Liu, Xiaoyun, Yuan, Beibei, Xu, Jin
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	England Elsevier Ltd 10.10.2015 Elsevier Limited
Predmet:	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 China
ISSN:	0140-6736, 1474-547X, 1474-547X
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Abstract	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.
AbstractList	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. 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. 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.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.
Author	Xu, Jin Yuan, Beibei Fang, Hai Meng, Qingyue Liu, Xiaoyun
Author_xml	– sequence: 1 givenname: Qingyue surname: Meng fullname: Meng, Qingyue email: qmeng@bjmu.edu.cn organization: China Centre for Health Development Studies, Peking University, Beijing, China – sequence: 2 givenname: Hai surname: Fang fullname: Fang, Hai organization: China Centre for Health Development Studies, Peking University, Beijing, China – sequence: 3 givenname: Xiaoyun surname: Liu fullname: Liu, Xiaoyun organization: China Centre for Health Development Studies, Peking University, Beijing, China – sequence: 4 givenname: Beibei surname: Yuan fullname: Yuan, Beibei organization: China Centre for Health Development Studies, Peking University, Beijing, China – sequence: 5 givenname: Jin surname: Xu fullname: Xu, Jin organization: China Centre for Health Development Studies, Peking University, Beijing, China
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/26466052$$D View this record in MEDLINE/PubMed
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Snippet	Fragmentation in social health insurance schemes is an important factor for inequitable access to health care and financial protection for people covered by... Summary Fragmentation in social health insurance schemes is an important factor for inequitable access to health care and financial protection for people...
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SubjectTerms	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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