China Health Review (CHR) - China Health Policy and Management Society (CHPAMS)
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Tide Turning: China’s Health Care Policy in Transition
Full text linkThis article systematically reviews the historical process of China’s healthcare system reform, and provides his prospective on the future reform direction. The author examined the unintended consequences of China’s market-oriented healthcare reform since the collapse of the socialized health system in 1979, including the sharply decreasing health insurance coverage, diminishing public health prevention services, increasing healthcare costs and worsening inequalities, resulted from the reduction in public health expenditures. In response to the collapse of universal health system, a new Urban Basic Medical Care Insurance System for Staff and Workers (UBMCI-SW) was started in 1993 for urban employees; the New Rural Cooperative Medical System (NCMS) was reestablished in October 2002 for the rural residents; and various forms of medical care insurance schemes were established starting in 2007 to provide coverage for the elderly, children and migrant farmer labors. China has achieved a significant success in restoring its universal healthcare system in one decade, in spite of the limited health services and scope of illness coverage. Witnessing the currently heated debate over whether the future reform direction should focus on marketization or public welfare, Dr. Guo believes that the reform-minded China’s new government will increase public expenditure and focus more on the welfare function of healthcare system
Interview with Dr. WANG Yu (Director, China CDC)
No full textDr. WANG Yu graduated from Beijing Medical University in 1982. He continued onto his graduate study at the Institute of Hepatology, Beijing Medical University from 1983 to 1989 and received his Master’s and Doctorate of Medicine during this period. From 1991 to 1993, he studied at the Jichi Medical School in Japan and received a Ph.D. degree in Preventive Medicine. In 1999, He completed Master of Business Economics program from the Chinese Academy of Social Sciences. Starting in 1985, he had been an assistant professor, associate professor, professor, deputy director and director of the Institute of Hepatology in Beijing Medical University, specializing on hepatology and viral molecular biology. Dr. Wang had participated in and chaired a number of national scientific and technological projects and programs, such as the Natural Science Foundation of China. He served as a committee member of the Chinese Medical Association and vice chairman of the Medical Virology Branch of the Chinese Medical Association. Since 1996, he had served as the Executive Vice-Director and Director of the Office of Scientific Research in Beijing Medical University, and Deputy Dean, School of Medicine, Peking University. From 2000 to 2003, he was appointed Deputy Director of the Center for Biological Engineering and Development, China Ministry of Science and Technology. From 2003 to 2004, he was Deputy Director of the Office of Rural and Social Development at the Ministry of Science and Technology. In June 2004, he was appointed as the Director of Chinese Center for Disease Control and Prevention under the Ministry of Health, China.Dr. Wang was invited to have a phone interview with the China Health Policy and Management Society in August. The interview was conducted by Dr. Chiu-fang Chou on September 8, 2012. Drs. Zhuo (Adam) Chen and Zheng Li from CHPAMS also participated in the interview. CHPAMS acknowledges help from Ms. Doris Wang, Mr. Lin Wang, and Ms. Xuhong Ding in facilitating the interview
Job Satisfaction by Chinese Primary Care Doctors Following Health Care Reform
Full text linkThe purpose of this study is to compare primary care doctors’ job satisfaction and factors associated with it before and after the latest health care reform in China. Data for the study were obtained from China Primary Care Workforce Surveys conducted in 2008 and 2011. Compared to results from the 2008 survey, primary care doctors (PCDs) in the 2011 survey were more satisfied with their jobs overall as well as work conditions and equipment, but less satisfied with their income. In both surveys rural CHC and village clinic doctors were less satisfied than their urban counterparts with their jobs overall, income, work condition, and equipment. Logistic regressions showed that practice setting (i.e. urban, rural, or village) and educational level were two important factors associated with job satisfaction. These findings demonstrated both significant achievements and further efforts to be made to strengthen primary care workforce and enhance their job satisfaction
