Health Care System and Reimbursements Issues in China.pptVIP

Health Care System and Reimbursements Issues in China Lu Ye School of Public Health Fudan University 1. Country Profiles China Health Profiles Health Resources (2003) 2. Health Care Finance Health Expenditures as a % of Gross Domestic Product in China Trend of Health Expenditures Comparison of Annual Growth Rate Between HE GDP Composition of Health Financing Sources Government financing Quasi-government -Enterprises health financing -Health insurance scheme financing Individuals Social financing Cause of Issues in Health Financing China’s health care provision and financing system transited from a central planned economy to a market based economy There is a tendency shifting mainly government community funded to one based on user charges It has resulted many complications : cost escalation, inequity inefficiency Underlying Reasons for Cost Escalation Rational reasons are increasing aging population, changing disease pattern Irrational reasons are: -- Inadequate government financing -- Distorted pricing system -- Unreasonable reimbursement system (FFS) for providers Composition of Health Financing Sources in China (1990-2003) The Complications of High Private Payment Inadequate insurance and risk-pooling coverage High disease burden for the poor Declining access of medical care and preventive services People complain the high prices of medial services and use more self-medication Lack of Fund to Support Public Health in China (1999) New Efforts Made by Chinese Central Government One of the striving targets is to increase the health quality of whole nation Government’s responsibility is to provide public health services Central government spent 6.5 billion to build up CDC institutions and blood collection centers in the Western provinces in China in 2002 3. Health Insurance in China Insurance Patterns Social Medical Insurance in Urban Employee(1998) -Personal account+ Social pooling fund New Cooperative Medical System in Ru