Foreword .................................................... Chen Jiagui / 1
Chapter 1 Health equity issues in process of China's economic
Transition..................................... Wang Yanzhong / 1
1.1 Challenges and problems of health protection in economic
transition..................................................... / 2
1.2 Progress and evaluation of "three reforms" of china's sanitation
and health systems ............................................ / 5
1.3 Suggestions on promoting of health development, health equity
and harmonious society building ............................... / 9
Chapter 2 Problems of the fast increasing medical-care costs and
difficult in doctor-seeing ... Wang Yanzhong and Wang Wenqing / 17
2. 1 The fast increasing medical-care costs is extending people's
ability mentally and economically ............................. / 17
2.2 A series of social and economic problems brought up by fast
increasing medical-care costs ................................. / 21
2.3 Analyses on factors and sources of rapid rising medical-care
costs ......................................................... / 22
2.4 Methods to solve difficulties in doctor-seeing and
medical care .................................................. / 29
Chapter 3 Development of basic medical insurance system for
urban workers ....... Guan Zhiqiang, Cui Bin and Dong Zhaohui / 37
3.1 Formation of basic medical insurance system for urban
workers ....................................................... / 37
3.2 Crises of medical health development and evolution of
medical insurance system ...................................... / 43
3.3 Challenges of basic medical insurance system for urban
workers ....................................................... / 51
3.4 Expectation on China's social medical insurance system ......... / 59
Chapter 4 Establishment and development of new rural cooperative
medical-care system
........ Wang Yanzhong, Liu Xiangli, Cui Hongzhi and Tang Jun / 64
4.1 Progress of new rural cooperative medical-care system in
experimental places ........................................... / 65
4.2 Main features of new rural cooperative medical-care system ..... / 68
4.3 Operation mechnism of new rural cooperative medical-care
system ........................................................ / 70
4.4 Main reSults and effects of new rural cooperative medical-care
system in preliminary countries ............................... / 98
4.5 Main problems of new rural cooperative medical-care system ..... / 100
4.6 Consideration and recommendation for perfecting new rural
cooperative medical-care system ............................... / 114
Chapter 5 Establishment and development of urban and rural medical
aid system ............. Wang Haiyan, Liu Weiwei and Tang Jun / 125
5.1 Process of establishment of the medical aid system ............. / 126
5.2 Actualities of implementation of the medical aid system ........ / 128
5.3 Main problems of the medical aid system ........................ / 134
5.4 Consideration and recommendation to improve the medical
aid system .................................................... / 136
Chapter 6 Problems of medical-care insurance for migrant workers from
countryside ..................... Zheng Gongcheng and Lu Quan / 138
6. 1 Some social features of the migrant workers from
countryside ................................................... / 138
6. 2 Basic Situation and major problems of the medical-care system
for migrant workers ........................................... / 142
6. 3 Policy suggestions on building the medical-care system for
migrant workers ............................................... / 153
Chapter 7 Development of commercial health insurance
.................................. Guo Jinlong and Duan Jiaxi / 158
7.1 A brief history of commercial health insurance development
in China ...................................................... / 158
7.2 Main achievements of commercial health insurance ............... / 166
7.3 Analysis on existing problems and whys ......................... / 175
7.4 The expectation for the development of commercial health
insurance ..................................................... / 177
7.5 Suggestions on quickening development of commercial
health insurance .............................................. / 181
Chapter 8 Perspectiveson international medical insurance system
reform .......... Zheng Bingwen, Fang Lianquan and Huang Nian / 185
8.1 Major models and same issues of international medical
insurance system .............................................. / 185
8.2 Reform of the medical insurance system in Europe and
United states .................................................. / 190
8.3 Reform of the medical insurance system in Latin American
countries ...................................................... / 197
8.4 Comparison of some Asian countries and areas in medical
insurance system .............................................. / 206
8.5 Discussion on China's individual medical-care accounts in
the international view ........................................ / 212
Chapter 9 Consequences of reform and government role
in China's health care system ........................ Gu Xin / 218
9.1 Independent: reform in medical-care organizations .............. / 220
9.2 Reform of being independent caused fast increase in
medical-care costs ............................................ / 223
9.3 Leadership of public hospitals and social public welfare of
medical-care system ........................................... / 227
9.4 Loss of third-party buyer ...................................... / 232
9.5 Short of government investment ................................. / 233
9.6 Market failure and government distortion in health care
resource configuration ........................................ / 237
9.7 Government's role in reform of medical-care system ............. / 241
Chapter 10 Reform and development of urban community health
services system ................................... Li Shixue / 246
10. 1 What is community health services system? ................... / 246
10.2 Development of urban community health services system ........ / 254
10.3 Major progress of urban community health services system
recent years ................................................ / 257
10.4 Main problems of urban community health services system ....... / 264
10.5 Policies and measures in accelerating development of urban
community health service ..................................... / 266
Chapter 11 Construction of rural health service system ....... Yang Tuan / 269
11.1 A brief history of rural health service system ................ / 269
11.2 Actualities of rural health service system .................... / 273
11.3 Main problems of rural health service system .................. / 277
11.4 Experimental reform in some provinces ......................... / 282
11.5 Analysis on some policy issues for rural health service
system development ............................................ / 287
11.6 Suggestions on the Construction of rural health service
system ........................................................ / 297
Chapter 12 Issues in AIDS and public health system in China
................................................. Hou Hongrui / 304
12. 1 The emergence of AIDS in recent China ........................ / 305
12.2 The distribution and the prevalent characteristics of AIDS .... / 306
12. 3 The impact of the AIDS epidemic on social development ........ / 318
12.4 The breakthrough China achieves on the prevention and
cure of AIDS in the traditional public sanitation work ...... / 321
12.5 Prevention and the challenges of AIDS to public health system . / 329
12.6 Risky factors of AIDS prevalence and the proposal of
prevention .................................................... / 333
Chapter 13 Trend and revelation of international health system
Reform ............................................... Ou Xin / 340
13.1 Diversity of delivery system of medical-care .................. / 341
13.2 Competition with management is basic theory of global
medical-care reform .......................................... / 344
13.3 Organization and management reform of public hospitals ........ / 348
13.4 Enlightenment from international experience ................... / 356
Chapter 14 Overall considerations on China's health reform and
system building of medical security
...... Guan Zhiqiang, Cui Bin, Dong Zhaohui and Wang Yanzhong / 358
14. 1 Issues and challenges ........................................ / 359
14. 2 Debate and introspection on developmental orientation of
medical-care and health ...................................... / 369
14. 3 Options of development strategy and orientation of health
reform ....................................................... / 375
14. 4 Innovating anti-diseases system in core of health ............ / 380
14. 5 Building multifold medical-care system which can cover all of
people based on basic social insurance in severe disease...... / 385
References .............................................................. / 388
