Health Care for 1.

3 Billion :
An Overview of China’s Health System
Karen Eggleston
Working paper series 2012-28
Stanford University
Walter H. Shorenstein Asia- Pacific Research Center
Asia Health Policy Program

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 Adopted by:
Hafsah Labibah (172010101065)
Fakultas Kedokteran
Universitas Jember

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Background
China’s population
There are 1.3 Billion
over age 60 people’s in China,
13.3%
below age So what kind of a
23.3% 15 health care system
half urban
16.6%
do China’s 1.3 billion
49.7% high school/ turn to when ill,
college injured, or in need of
care?

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The History of Health System Development in China

1950-mid 1970 After 1978

Centralized Free Market

economic economyc
system system

Rural
aglicultural Rural
commune (rural aglicultural
cooperative), commune
LIS, and GIS disbanded

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The History of Health System Development in China

1980-1990 1997

The first health

“Kan bing nan, sector reform
kan bing gui” proposal
(medical care
being difficult to
access and Urban Employee-
expensive) based Medicine
Insurance (UE-BMI)

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The History of Health System Development in China

Early 2003 2006 2009

SARs
Outbreak A process of
deliberations April, the CPC
how to best Central
New rural Committee and
Cooperatives reform the
health sector. the State Council
Medical Scene jointly issued the
(NCMS) "Opinions on
And Medical NCMS Deepening the
Financial program had Health Care
Assistance been System Reform."
(MFA) expanded

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China’s 2009 Healthcare Reform and the 2009-11 Workplan

1. • Expand the basic medical insurance coverage

• Establish the national Essential Drug System at all local
2.
levels
• Upgrade the primary health care services at the grass-
3.
roots level
4. • Expand the coverage of basic public health services

5. • Advance pilot public hospital reform

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Hospital Admission in The Past Year According to Income Group
Caption

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Daily average rate of outpatient visits and inpatient bed days
per doctor in China 2000-2012

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Conclusion and comment

The changing ideology of a centralized economic

system into a free market economy system
brings a gap to the health insurance system in
china.

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Conclusion and comment

But the Chinese government's health care reform plan

represents a major initiative towards ensuring universal access
to basic health care, essential medicines and public health
services.
More strategies are needed to expand access and insurance
programs so that they can achieve better targets in the next
year.

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References
 Banister, Judith,1987.China;s Changing Population.
Stanford University Press.
 Du,J.(2009). Economic reforms and health insurance in
China. Social Science & Medicine, 69 (3).387- 395.
 Bloom,G. (2011). Buildin Institutions for an effective
health system: Lessons from China’s experience with
rural health reform. Social Science & Medicine.

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