health social system in china n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Health social system in China PowerPoint Presentation
Download Presentation
Health social system in China

Loading in 2 Seconds...

play fullscreen
1 / 26

Health social system in China - PowerPoint PPT Presentation


  • 245 Views
  • Uploaded on

Health social system in China. Lian Tong Doctoral student (D3) Sep 29, 2010 Lab of International Community Care and Lifespan Development . Health sectors/system. Health care system Provision of health services (hospital, health care center…) Water and sanitation Occupational health

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Health social system in China' - early


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
health social system in china

Health social system in China

Lian Tong

Doctoral student (D3)

Sep 29, 2010

Lab of International Community Care and Lifespan Development

health sectors system

Healthsectors/system

Health care system

Provision of health services (hospital, health care center…)

Water and sanitation

Occupational health

Environment hygiene

Social security

……

Health

system

government health organization

Government Health Organization

Ministry of Health

National level

Department of Health

Province level

Bureau of Health

City level

duty of the ministry of health

Duty of the Ministry of Health

  • Make health related policy and strategy
  • Promote medical reform
  • Deal with important public health problems…

Smoking

Milk problems

vaccine

Iodized salt

ministry of health of china

Ministry of Health of China

Ministry of Health

Sub-managementbureaus and offices

Emergence issue

Rural area

health

Women/children health

Disease control

Drug management

Medical

supervision

Hospital management

Medical policy

Health care

Science and education

International bureau

chinese center for disease control and prevention cdc

Chinese center for disease control and prevention (CDC)

National level

Province and city level

CDC in each province and city

health care system

Health care system

  • Central goal of the health sector is the good health of the whole population

Health Services and Medical Security

National health policies

Financial Investment

Citizens’ utilization of health services

slide8

Health Services and Medical Security in China

(1) Health Service Institutions

(2)Medical Service Utilization

(3)Preventive Care Services

(4)Cost of Provision of Health Services

(5)Health Insurance Status

slide9

Health indicators of China

(1) Health Service Institutions

  • The number of doctors per thousand citizens is 1.5 (1.5/1000), close to that of Brazil and Egypt, but lower than USA (2.7), Japan (1.9) and UK (2.0).
  • The number of registered nurses per thousand people is 1.03 (1.03/1000).

Deficiency of medical resource

slide10

Health indicators of China

Health Service Institutions in city and rural area

slide11

(2) Medical Service Utilization

  • The total number of visits to medical institutions in 2003 was 2.096 billion, with an average of 1.62 visits per capita.
  • The distribution of hospitalization in 2003 was 70.0% in comprehensive hospitals, 0.2% in urban community health centers, 24.3% in township hospitals, 4.6% in women and children’s hospitals, and 0.9% in other hospitals.
  • Recourse waste!
  • Community health centers don’t play the good role of “guard”!
slide13

(3) Preventive Care Services

  • Vaccination rate is about 80%-96%
  • 87.8% of pregnant women had at least one pre-natal examination
  • The rate of delivery in hospitals was comparatively low - averaging only 68.3%, with 92.6% in urban and 62.0% in rural areas.

A clear difference between urban and rural areas and

between geographic districts

slide14

(4) Cost of Provision of Health Services

  • The average outpatient expenditure per visit in 2003 was RMB 108.2, an equivalent of 0.77% of the per capita salary for urban citizens (RMB 14,040), but 4.2% of that of farmers (RMB 2,622).
  • Average inpatient expenditure per admission in 2003 was RMB 3,911, amounting to 27.9% of the per capita urban salary and 149.1% of per capita farmer income.

Heavy burden of the cost of health services for farmers

slide15

Over cost/ high price for drug

A patient is looking at the bill

Cold

Business man

Price of drug

Patient

Getting bigger and bigger

slide16

(5) Health Insurance Status

  • In2003, 9.5% of rural residents participated in the New Cooperative Medical Scheme (NCMS) and 11.5% in other forms of medical insurance schemes, leaving 80% without any form of medical security.
  • In urban areas, 30.4% of residents are covered by the basic medical insurance scheme, 24.8% participate in other insurance schemes, leaving 44.8% of urban citizens without any form of medical security.

Need a medical insurance reform urgently!!!

slide17

City

Rural area

slide18

Background of china society

The unbalance in Social Development

How to redistribute resources in China???

West

East

Geography

City

Rural area

Workers

Farmers

Group/Class

  • Education
  • Medicine
  • Social welfare
  • Culture……

Social

Development/

Software

Economy/

Hardware

Field

slide19

What’s people worry about mostly???

  • 2004
  • What the most important motivations to save money?
  • Provide for the aged
  • Medicine
  • Education
  • 2006
  • What the most important motivations to save money?
  • House
  • Education
  • Medicine

Medical insurance and social welfare reform in 2005

slide20

What shall we do???

Hospital System Reform

Social Welfare system (Old-age Insurance System)

Medicine Insurance

system

slide21

New Medicine Insurance system in China

City

Rural area

Medical Insurance for Urban Workers

New Rural Cooperative Medical Care

  • National government finance
  • National government finance
  • Local government finance
  • Company, enterprise and so on

Individual income

Individual income

slide22
From the insurance window, patients can get their money back proportionally depend on the diseases and their cost.
slide23

Situation of elder population in rural China

There are 900 million people over 60 years old in rural areas, and the number increase gradually.

There are 39.3% elders living in poverty in rural areas.

Only 1.5%elders in rural areas have endowment insurance.

4. There are 45.3 %elder in rural areas think that their lives are no guarantee.

slide24

New Social Endowment Insurance for elders in rural area (2009~2020)

  • 2009, 10% cities and towns as the sample fields.
  • 2020, covering the whole country.

The family pay

the basic insurance fee

Over 60 years old

Lowest basic

endowment cost

Government

Compensation

50% fee for east areas

100% fee for west areas

slide25

Before reform

75.4% population no medical insurance in 2003, decreased to 65.7% in 2004……

No Compensation for general elders in rural area except for handicapped people or elders without child.

After reform

Over 90% population in city and rural area were covered with insurance.

Almost 100% elders can get the life compensation from government per month.