wow-inequalities/02-data/intermediate/wos_sample/75ce56a804e88527721e44362de63d43-xu-ling-and-wang-y/info.yaml

abstract: 'Background: In 1997 there was a major reform of the government run urban

  health insurance system in China. The principal aims of the reform were

  to widen coverage of health insurance for the urban employed and contain

  medical costs. Following this reform there has been a transition from

  the dual system of the Government Insurance Scheme ( GIS) and Labour

  Insurance Scheme ( LIS) to the new Urban Employee Basic Health Insurance

  Scheme ( BHIS).

  Methods: This paper uses data from the National Health Services Surveys

  of 1998 and 2003 to examine the impact of the reform on population

  coverage. Particular attention is paid to coverage in terms of gender,

  age, employment status, and income levels. Following a description of

  the data between the two years, the paper will discuss the relationship

  between the insurance reform and the growing inequities in population

  coverage.

  Results: An examination of the data reveals a number of key points:

  a) The overall coverage of the newly established scheme has decreased

  from 1998 to 2003.

  b) The proportion of the urban population without any type of health

  insurance arrangement remained almost the same between 1998 and 2003 in

  spite of the aim of the 1997 reform to increase the population coverage.

  c) Higher levels of participation in mainstream insurance schemes ( i.

  e. GIS-LIS and BHIS) were identified among older age groups, males and

  high income groups. In some cases, the inequities in the system are

  increasing.

  d) There has been an increase in coverage of the urban population by

  non-mainstream health insurance schemes, including non-commercial and

  commercial ones.

  The paper discusses three important issues in relation to urban

  insurance coverage: institutional diversity in the forms of insurance,

  labour force policy and the non-mainstream forms of commercial and

  non-commercial forms of insurance.

  Conclusion: The paper concludes that the huge economic development and

  expansion has not resulted in a reduced disparity in health insurance

  coverage, and that limited cross-group subsidy and regional inequality

  is possible. Unless effective measures are taken, vulnerable groups such

  as women, low income groups, employees based on short-term contracts and

  rural-urban migrant workers may well be left out of sharing the social

  and economic development.'
affiliation: 'Wang, Y (Corresponding Author), Univ Liverpool, Liverpool Sch Trop Med,
  Pembroke Pl, Liverpool L3 5QA, Merseyside, England.

  Univ Liverpool, Liverpool Sch Trop Med, Liverpool L3 5QA, Merseyside, England.

  Minist Hlth, Ctr Hlth Stat \& Informat, Beijing, Peoples R China.'
article-number: '37'
author: Xu, Ling and Wang, Yan and Collins, Charles D. and Tang, Shenglan
author-email: 'xuling@moh.gov.cn

  yan.wang@liverpool.ac.uk

  chascollins@tiscali.co.uk

  s.tang@liverpool.ac.uk'
author_list:
- family: Xu
  given: Ling
- family: Wang
  given: Yan
- family: Collins
  given: Charles D.
- family: Tang
  given: Shenglan
da: '2023-09-28'
doi: 10.1186/1472-6963-7-37
files: []
issn: 1472-6963
journal: BMC HEALTH SERVICES RESEARCH
keywords-plus: ECONOMIC-REFORM; ACCESS
language: English
month: MAR 3
number-of-cited-references: '30'
papis_id: 866ff0cef3327655b6da96957dac47bd
ref: Xu2007urbanhealth
researcherid-numbers: Tang, Shenglan/AAO-7403-2020
times-cited: '78'
title: Urban health insurance reform and coverage in China using data from National
  Health Services Surveys in 1998 and 2003
type: article
unique-id: WOS:000245025300001
usage-count-last-180-days: '0'
usage-count-since-2013: '47'
volume: '7'
web-of-science-categories: Health Care Sciences \& Services
year: '2007'