Equity in health and health care: the Chinese experience
Equity in health and health care: the Chinese experience
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DOI：
10.1016/s0277-9536(99)00207-5
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发表时间：
1999-11-01
影响因子：
5.4
通讯作者：
Eggleston, K
中科院分区：
文献类型：
--
作者：
Liu, YL;Hsiao, WC;Eggleston, K
本文考察了中国从计划经济向市场经济转型过程中健康和医疗保健公平性的变化。结合1985年、1986年和1993年三项全国调查的数据，结合对主要经济和医疗保健因素的补充研究和分析，比较经济转型时期中国城乡健康状况的变化。经验证据表明，转型时期城乡居民健康状况中的同性恋现象不断扩大，这与收入和医疗保健利用差距的扩大有关。这些趋势与医疗保健融资和组织的变化有关，包括农村人口保险覆盖范围的大幅减少和公共卫生的放松。中国的经验表明，卫生发展并不自动跟随经济增长。进入21世纪，中国社会安全网体系的健康部分面临着日益严重的不平等问题。 (C) 1999 Elsevier Science Ltd. 保留所有权利。
This paper examines the changes in equality of health and health care in China during its transition from a command economy to market economy. Data from three national surveys in 1985, 1986, and 1993 are combined with complementary studies and analysis of major underlying economic and health care factors to compare changes in health status of urban and rural Chinese during the period of economic transition. Empirical evidence suggests a widening gay in health status between urban and rural residents in the transitional period, correlated with increasing gaps in income and health care utilization. These trends are associated with changes in health care financing and organization, including dramatic reduction of insurance cover for the rural population and relaxed public health. The Chinese experience demonstrates that health development does not automatically follow economic growth. China moves toward the 21st century with increasing inequality plaguing the health component of its social safety net system. (C) 1999 Elsevier Science Ltd. All rights reserved.