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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Wu, Jing Rao, Keqin Gakidou, Emmanuela Liu, Yuanli |
| Spatial Coverage | China |
| Description | Author Affiliation: Liu Y ( Harvard School of Public Health, Boston, MA, USA.) |
| Abstract | We created a comprehensive set of health-system performance measurements for China nationally and regionally, with health-system coverage and catastrophic medical spending as major indicators. With respect to performance of health-care delivery, China has done well in provision of maternal and child health services, but poorly in addressing non-communicable diseases. For example, coverage of hospital delivery increased from 20% in 1993 to 62% in 2003 for women living in rural areas. However, effective coverage of hypertension treatment was only 12% for patients living in urban areas and 7% for those in rural areas in 2004. With respect to performance of health-care financing, 14% of urban and 16% of rural households incurred catastrophic medical expenditure in 2003. Furthermore, 15% of urban and 22% of rural residents had affordability difficulties when accessing health care. Although health-system coverage improved for both urban and rural areas from 1993 to 2003, affordability difficulties had worsened in rural areas. Additionally, substantial inter-regional and intra-regional inequalities in health-system coverage and health-care affordability measures exist. People with low income not only receive lower health-system coverage than those with high income, but also have an increased probability of either not seeking health care when ill or undergoing catastrophic medical spending. China's current health-system reform efforts need to be assessed for their effect on performance indicators, for which substantial data gaps exist. |
| ISSN | 01406736 |
| e-ISSN | 1474547X |
| Journal | The Lancet |
| Issue Number | 9653 |
| Volume Number | 372 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2008-11-29 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Delivery Of Health Care Statistics & Numerical Data Health Care Reform Organization & Administration Health Services Accessibility Health Services Needs And Demand Rural Health Services Urban Health Services Child Health Services Child, Preschool Maternal Health Services Medicine |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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