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• W50640734 abstract "In the late 1980s, domestic policymakers implemented a first generation market-based health sector reforms designed similarly to those that had proven successful in other sectors of China’s economy, but with different results. These reforms devolved the central government’s administrative control and financial support over healthcare to provincial and local authorities. From 1978 to 1999, the contribution of the central government to national healthcare spending dropped by over half from 32% to 15% 1 . This overall figure masks the tremendous inequalities these reforms created as cross-subsidies from more prosperous regions, provinces and urban centres to poorer areas were curtailed. In contrast to positive results that similar reform packages created in other sectors of the economy, the structure of incentives created by the health sector reforms that have been linked to: the loss of socialised healthcare coverage in rural areas; the exit of healthcare providers from the health sector; drastic increases in the price of healthcare; and deteriorations in the quality of healthcare provision. Significantly, the overall health of the Chinese population continued to improve at least thought 1995 2 . This was likely due to the continuing economic growth that improved living standards, reduced poverty and lifted nutritional standards, thus masking the deterioration of the health system. However, growing deficiencies in the public health infrastructure were brought to national and international attention most notably during the Severe Acute Respiratory Syndrome (SARS) epidemic of 2003. The second generation of health sector reforms was marked by a return to gradual reforms characterised by geographically limited trials of differing reform packages, which were often designed by western academics specialised in public health. Policymakers in China have re-established universal healthcare as a final objective of the third (and current) generation of health sector reforms. Leveraging experiences from the second generation of limited reform trials, they are improving upon health challenges created during the first generation of reforms. Examples of OECD experience and best practices are presented throughout this study for policymakers to consider as they engage the current generation of health sector reforms. The recommendations are provided at the end of the study suggest approaches to reform informed by health sector reform experiences in the OECD area." @default.
• W50640734 created "2016-06-24" @default.
• W50640734 creator A5064451548 @default.
• W50640734 date "2010-01-01" @default.
• W50640734 modified "2023-09-27" @default.
• W50640734 title "Regulatory reform in China's health sector" @default.
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