Public perceptions of private health care in socialist China
Public perceptions of private health care in socialist China
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DOI：
10.1377/hlthaff.23.6.222
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发表时间：
2004-11-01
期刊：
影响因子：
9.7
通讯作者：
Zhou, ZJ
中科院分区：
文献类型：
--
作者：
Lim, MK;Yang, H;Zhou, ZJ
我们介绍了联合国开发计划署和世界卫生组织受中国卫生部委托进行的一项关于中国三个省份公共和私人门诊护理服务使用情况的研究结果。我们发现许多医疗需求未得到满足（16%），这主要归因于人们认为护理成本高昂。 71% 的人没有医疗保险（农村地区为 90%，城市地区为 51%）。 33% 的人最后一次咨询是与私人医生进行的。对公共医疗服务提供者的普遍不满（主要是高昂的使用费和员工态度差）正在促使患者向监管不善的私人医疗服务提供者寻求更便宜但质量较低的护理。
We present the findings of a United Nations Development Programme-World Health Organization study commissioned by China's Ministry of Health on use of public and private ambulatory care services in three Chinese provinces. We found much unmet medical need (16 percent), attributed mainly to the perceived high cost of care. Seventy-one percent had no health insurance (90 percent in rural and 51 percent in urban areas). For 33 percent, the last consultation was with a private practitioner. Widespread dissatisfaction with public providers (mainly high user fees and poor staff attitudes) is driving patients to seek cheaper but lower-quality care from poorly regulated private providers.