Ethical Reflections on the Equity of the Current Basic Health Insurance System Reform in China: A Case Study in Hunan Province

Cambridge Quarterly of Healthcare Ethics : CQ : the International Journal of Healthcare Ethics Committees
Junxiang LiuYonghui Ma

Abstract

China's current basic health insurance reform aims at promoting equity in the economic accessibility of health services for all citizens, to better ensure healthcare justice. Therefore, it is important to assess equity not only from a socioeconomic perspective but also from an ethical angle. This article investigates the basic health insurance system of Hunan Province in China by focusing on insurance types as well as their classification standards, mechanisms, and utilization according to local policy documents and data. This study demonstrates the reforming achievements and the inequity of institutional design according to two interrelated dimensions: equal opportunity of access to healthcare insurance and reducing inequality in insurance benefits. The article concludes that to achieve opportunity equity and outcome fairness, the reform should focus on designing the system to promote equity with respect to procedures and rules and to be more attentive to the interests of vulnerable groups and especially to rural residents.

References

Oct 1, 1995·Social Science & Medicine·X FengY Gu
Oct 6, 1999·Social Science & Medicine·Y LiuK Eggleston
Apr 9, 2004·Health Policy and Planning·Yuanli Liu
Sep 7, 2005·Health Policy and Planning·Hong WangWilliam Hsiao
Mar 6, 2012·Lancet·Winnie Chi-Man YipAlan Maynard
Dec 19, 2012·BMC Health Services Research·Mingsheng ChenYuxin Zhao
Nov 14, 2015·Population Health Management·Haichang Xin

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Citations

Sep 21, 2019·The Journal of International Medical Research·Zhu-Heng WangJun Gang
Nov 24, 2018·International Journal for Equity in Health·Xue YangZhonghua Wang

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