0000000000289537
AUTHOR
Jacky Mathonnat
The Impact of the New Rural Cooperative Medical Scheme on Township Hospitals' Utilization and Income Structure in Weifang Prefecture, China
The New Rural Cooperative Medical Scheme was gradually introduced from 2003 in China. This paper is based on a representative survey of 24 randomly selected township hospitals in Weifang prefecture over the period 2000-2008. Using a generalized form of differences-in-differences model, it aims to assess the effect of the reform on the utilization and income structure of the township hospitals. The estimations provide three main results linked to the effects of the New Rural Cooperative Medical Scheme on the behavior of the key stakeholders (households, health care providers and Health Bureau). Firstly, the reform had positive impacts on the utilization of township hospitals, particularly on…
Accès aux soins et performance économique au cœur des politiques de santé
Ce numéro spécial, coordonné par le Collège des Économistes de la Santé, présente des travaux originaux en économie de la santé à partir d’une sélection de communications présentées lors des 33e Journées des économistes de la santé français à Clermont-Ferrand en décembre 2011. Comme à l’accoutumée, la revue Économie publique propose trois rubriques (« Panorama », « Dossiers » et« Recherches »). La rubrique Panorama de ce numéro est constituée de trois articles centrés sur la problématique des politiques de santé dans les pays en développement. Le premier article met en exergue différents aspects de notre déficit de connaissance sur des questions particulièrement importantes pour la définiti…
Efficiency of Health Centers in Cambodia: Case Study in Takeo Province
Financing and efficiency of primary health care are two major issues for the development and deepening of health universal coverage in a context of strong financial constraint. In Cambodia, the development of demandside financing schemes - Health Equity Fund and Community-Based Health Insurance ? provides an opportunity to enhance the health centers (HCs) activity and thus their performance, which are very low as underlined by the literature. Nevertheless, except our study, the literature on Cambodian HCs focuses on the analysis of their activity and financing without taking into consideration efficiency issues. From a field survey, our study is a contribution to fill this gap by estimating…
Health Insurance Reforms and Health Policies in Rural China
Since the early 2000s, the Chinese government has undertaken a series of reforms in the health sector. Among these, the three most important have been concerned with medical insurance, hospital administration, and pharmaceutical policies. The aims of these reforms were to extend health insurance coverage, to increase the activities and the efficiency of the health establishments, and to improve patient care. This article focuses on two components of these reforms: the development of health insurance in rural areas and the policy on essential medicines in conjunction with hospital reforms. Our longstanding co-operation with a research team from Weifang University and with the Weifang Health …