Lyu K. —
The development of health insurance system in China in the period of socialist modernization (1978 – 2001)
// Politics and Society. – 2020. – ¹ 3.
– P. 36 - 50.
DOI: 10.7256/2454-0684.2020.3.33283
URL: https://en.e-notabene.ru/psmag/article_33283.html
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Abstract:
This article explores the development of health insurance system in China over the period from 1978 to 2001. The author reviews the implementation of market mechanisms in health insurance system; provides statistical data on the number of insured persons residing in the city or rural localities. Analysis is conducted on legislation that regulates insurance activity in the sphere of medicine. The conclusion is made that the implementation of such systems affected by migration from rural to urban areas led to imbalance in the quality and availability of medical services. It is noted that despite the efforts of Chinese authorities, health insurance system did not expand neither the number of insured rural or urban residents; dependence of the level of medical care on the level of salaries led to segregation of rich and poor citizens. The employees with insufficient salary level were trying to reduce the cost treatment, as it partially compensated from their personal savings, which also led to severe sanitary consequences. Therefore, the implementation of market mechanisms in health insurance led to inequality of the citizens with regards to availability of medical services.
Lyu K. —
Problems and prospect of development of health insurance system in China
// Trends and management. – 2020. – ¹ 2.
– P. 11 - 16.
DOI: 10.7256/2454-0730.2020.2.33285
URL: https://en.e-notabene.ru/tumag/article_33285.html
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Abstract: This article examines the current health insurance system in China. Emphasis is made on determination of the key features and peculiarities of Chinese health insurance system, as well as its flaws and ways for overcoming them. The author believes that resolution of major issues in Chinese health insurance system requires increased state involvement thereof, since the marked-based approach that has been in effect for the past 30 years lead to inequality and deterioration of the quality of healthcare. The following recommendations are made on the improvement of health insurance system: launch the targeted financing projects that would allow the citizens with especially dangerous diseases, such as cardiovascular, oncological, digestive and nervous system, diabetes, to be paid in full by insurance and state subsidies in receiving medical services and medications; forgo the principle of “annual limit” for medical services and medications under insurance coverage; unify insurance payment systems in different regions in order to improve the quality of rendering healthcare services in poor areas. The author also offers to consider the possibility of implementation of the universal guaranteed service standards that would ensure equal level of the quality of basic services regardless the type of insurance.
Lyu K. —
State regulation of the system of medical insurance in the People’s Republic of China during construction of the “socialist base” (1949-1977)
// NB: Administrative Law and Administration Practice. – 2020. – ¹ 1.
– P. 42 - 49.
DOI: 10.7256/2306-9945.2020.1.33282
URL: https://en.e-notabene.ru/al/article_33282.html
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Abstract: From the historical perspective, this article explores the establishment of the system of state medical insurance in China. The historical period of this establishment was selected due to an abrupt change in the system of medical insurance as a result of creation of the People’s Republic of China – the system of medical insurance changed from private to state-controlled. Prior to 1949, insurance was issued by private companies, then replaced by state medical insurance. This article gives attention to the key points in establishment of the system of medical insurance, as well as examines the main legislative bills that served as the basis for creation of the state insurance system. The author substantiates the idea of the periodicity of the development of China’s system of social medical insurance. The history of development of this system includes three stages: each of which is tightly connected to a specific strategy of socioeconomic development of PRC authority. Attention is also paid to redistribution of resources of the system of medical insurance between a city and a village, which vividly reflects the need for adjustment of the system of medical insurance to China’s rapid industrialization in that chronological period. The author describes the flaws of the system and government actions aimed at their overcoming.