中国乡村医疗系统近况- Little Devil Presentation.pptVIP

Hongman Wang, MD. Ph.D cde@pku.edu.cn Hongman Wang, MD. Ph.D.Peking University Health Science Center Healthcare System in Rural China - Challenges and Opportunities Hongman Wang, MD. Ph.D. Associate Professor Peking University cde@pku.edu.cn Healthcare System in ChinaOverview Rural versus Urban area: a few comparisons and contrasts A Brief Historical Review of Rural Healthcare System Case Study: a survey of 12 towns, 96 villages (2005) Challenges and opportunities Comparison of Population and Income Challenges :Allocation  Rural vs Urban Challenges :Health Expenditure Ratio of Medical Doctors and Assistants Per 1000 persons: Rural vs. National Average  在林西县(国家级贫困县)医院母婴病房 访谈 该地农妇98%在医院生产 The History of Cooperative Medical System  1930s: Prototype of medical Co-Op in the military bases 1955: Early forms of Cooperative Medical System in Henan Province 1968: Chairman Mao’s Approval of CMS experience 1976: 90% of villages established CMS Character of 80s Gradual disintegration of CMS By 1989, only 4.8% villages remained in CMS In the 90s On National Health Conference ( Oct,9th, 1996) formal President Jiang said “The enhancement of rural health work lies in improving and consummating rural Cooperative Medical System ” Item 11 of “the Decision regarding Reform and Development of medical care “of CPC Central Committee and State Council : Cooperative Medical System needs to be actively and steadily developed and improved  New Century (21th Century) The October 2002 document of the Central Committee and the State Council, “Decision on Further Strengthening Rural Health Work,” provides the foundation for the Government’s efforts to strengthen rural health services. 2003: New cooperate medical system (NCMS) initiatives on the LG level 2005: 671 counties started NCMS pilot