H ealth sector reform in China H ealth sector reform in China - - PowerPoint PPT Presentation

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H ealth sector reform in China H ealth sector reform in China - - PowerPoint PPT Presentation

Feb 25, 2024 241 likes •358 views

H ealth sector reform in China H ealth sector reform in China Response to Prof Le Grand Response to Prof Le Grand by by Henk Bekedam (LSE 1996) Henk Bekedam (LSE 1996) Director Health Sector Development Director Health Sector Development

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SLIDE 1

Health sector reform in China Response to Prof Le Grand

by

Henk Bekedam (LSE 1996)

Director Health Sector Development Western Pacific Regional Office

Beijing, LSE Asia Forum, 26 March 2010

Health sector reform in China Response to Prof Le Grand

by

Henk Bekedam (LSE 1996)

Director Health Sector Development Western Pacific Regional Office

Beijing, LSE Asia Forum, 26 March 2010

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SLIDE 2

“Choice in a Quasi-Market”

YES,

Offers potentially good or ‘least-worst’ balance between:

  • Creating positive incentives
  • Responsiveness, efficiency, quality
  • Minimising perverse incentives
  • Over-diagnostics, over-treatment
  • Under-treatment

…. BUT

2

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SLIDE 3

“Quasi-Market in China”

  • !
  • Equity – Access
  • High savings rate …
  • Safety and quality
  • Public health goods

3

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SLIDE 4

Sufficient Government Funding ….

Structure of total health expenditure in China

10 20 30 40 50 60 70 80 90 100

Households Insurance General taxation % 1980 1997 2007

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SLIDE 5

“Quasi-Market in China”

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SLIDE 6

More money no guarantee for improved services THE PATIENT NEEDS HELP

Salaries are for major part paid through selling drugs and diagnostics in health systems with high OOP

6

Pharmaceutical and OOP expenditures as a % of total health expenditure, 2005

1 20 30 40 50 60 70 80 M ongolia China Cambodia Laos C o unt ries Pharm OOP

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SLIDE 7

“Quasi-Market in China”

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  • Quality of health care and services, accreditation of

health workers, cost control, food and drug safety

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SLIDE 8

China Reform: Universal Coverage by 2020

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SLIDE 9

UC 2020:

Increased govt funding creates opportunities

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SLIDE 10

Concluding comments

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