2023-09-28 14:46:10 +00:00
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abstract: 'Since the 1950s, China has had a very wide coverage of healthcare
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service at the local level. In urban areas, the employment-based
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healthcare-insurance schemes (Government Insurance Scheme and Labour
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Insurance Scheme) worked hand in hand with the full employment policy of
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the Government, which guaranteed basic care for almost every urban
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resident. However, since the economic reforms of the early 1980s,
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China''s healthcare system has met great challenges. Some came from the
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reform of the labour system, and other challenges came from the
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introduction of market forces in the healthcare sector. The new policy
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of the Chinese Government on the Urban Employees'' Basic Health Care
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Insurance is to introduce a cost-sharing plan in urban China. Like other
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major social policy changes, this new health policy also has a great
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impact on the lives of the Chinese people. Affordability has been the
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major concern among urban residents. Shanghai implemented the
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cost-sharing healthcare policy in the spring of 2001. It may be too
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early to assess the pros and cons of the new policy, but evidence shows
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that the employment-based health-insurance scheme excludes those at high
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risk and in most need. It is argued that the cost-sharing healthcare
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system will limit access by some people, especially those who are most
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vulnerable to the consequences of ill health and those in low-income
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groups'' unless the deductibles vary according to income and unless
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low-income groups are exempt from paying premiums and deductibles.'
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affiliation: 'Dong, WZ (Corresponding Author), Univ Toronto, Banting Inst, 100 Coll
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St,Suite 207, Toronto, ON M5G 1L5, Canada.
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Univ Toronto, Banting Inst, Toronto, ON M5G 1L5, Canada.
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Univ Toronto, Canadian Inst Hlth Res, Inst Populat \& Publ Hlth, Toronto, ON M5G
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1L5, Canada.
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Univ Toronto, Ctr Hlth Promot, Toronto, ON M5G 1L5, Canada.'
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author: Dong, WZ
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author-email: wdong@chass.utoronto.ca
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author_list:
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- family: Dong
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given: WZ
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da: '2023-09-28'
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eissn: 2072-1315
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files: []
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issn: 1606-0997
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journal: JOURNAL OF HEALTH POPULATION AND NUTRITION
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keywords: 'healthcare; health expenditure; healthcare costs; inequalities; health
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equity; health insurance; Shanghai; China'
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keywords-plus: REPUBLIC-OF-CHINA; SYSTEM; LESSONS; EQUITY; POLICY
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language: English
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month: SEP
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number: '3'
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number-of-cited-references: '28'
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pages: 223-234
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papis_id: c38cca4c6c10d1132403fe301ae0a448
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ref: Dong2003healthcarefinancingr
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times-cited: '15'
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title: 'Healthcare-financing reforms in transitional society: A Shanghai experience'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000187792600007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '21'
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web-of-science-categories: Environmental Sciences; Public, Environmental \& Occupational
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Health
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year: '2003'
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