The role of health system governance in strengthening the rural health insurance system in China

International Journal for Equity in Health
Beibei YuanDina Balabanova

Abstract

Systems of governance play a key role in the operation and performance of health systems. In the past six decades, China has made great advances in strengthening its health system, most notably in establishing a health insurance system that enables residents of rural areas to achieve access to essential services. Although there have been several studies of rural health insurance schemes, these have focused on coverage and service utilization, while much less attention has been given to the role of governance in designing and implementing these schemes. Information from publications and policy documents relevant to the development of two rural health insurance policies in China was obtained, analysed, and synthesise. 92 documents on CMS (Cooperative Medical Scheme) or NCMS (New Rural Cooperative Medical Scheme) from four databases searched were included. Data extraction and synthesis of the information were guided by a framework that drew on that developed by the WHO to describe health system governance and leadership. We identified a series of governance practices that were supportive of progress, including the prioritisation by the central government of health system development and certain health policies within overall natio...Continue Reading

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Citations

Apr 13, 2018·International Journal of Environmental Research and Public Health·Ke JiangMitchell Mainstone
Jan 18, 2020·International Journal of Environmental Research and Public Health·Xiaotong WenZhaokang Yuan
Mar 30, 2019·Health Systems and Reform·Gerald Bloom
Nov 12, 2020·Risk Management and Healthcare Policy·Peize ZhangGuofang Deng
Mar 2, 2021·Journal of Global Health·Pengfei Zhang, Jinghua Gao
May 15, 2021·Journal of Multidisciplinary Healthcare·Jie Wang, Ruilian Zhang
Dec 8, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Ling-Ming ZhouDong Wang

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