Seguro social de salud en China: principales reformas y desequilibrios

https://doi.org/10.18294/sc.2017.999

Publicado 11 April 2017 Open Access


Fabianna Bacil Lourenço Ferreira Graduada en Relaciones Internacionales, Graduada en Economía. Investigadora asociada, Laboratório de Estudos em Economia Política da China (LabChina), Universidade Federal do Rio de Janeiro, Brasil. image/svg+xml




Vistas de resumen
1744
Cargando métricas ...


Palabras clave:

Reforma del Sector Salud, Seguridad Social, Desigualdades en la Salud, China


Resumen


En este artículo se analiza el sistema de seguro social de salud de China, sus reformas y los principales desequilibrios sociales encontrados. A partir de diversos autores de referencia, es posible observar que las reformas rurales y urbanas siguen el mismo patrón: un sistema de gran tamaño que se fue reduciendo, para volver a expandirse en una forma relativamente rápida. Sin embargo, a pesar de las mejoras, persisten algunos problemas históricos de China, principalmente, la brecha rural-urbana y las desigualdades regionales. La falta de integración del trabajador que migra del campo a la ciudad también se reproduce fuertemente en el sistema de salud pública de China, siendo estos los principales desafíos que se presentan actualmente.


Referencias bibliográficas


1. Chan CK, Ngok KL, Phillips D. Social policy in China: development and Well-being. Bristol: Policy Press; 2008.

2. World Bank. World Development Indicators [Internet]. 2017 [citado 5 mar 2017]. Disponible en: https://goo.gl/S1CZKT

3. Yu H. Universal health insurance coverage for 1.3 billion people: What accounts for China's success? Health Policy. 2015;119:1145-1152.

4. Kuhnle S, Sander A, Schmitt C. Towards a Chinese welfare State? Tagging the concept of social health security in China. The Perspective of the World Review. 2012;4(2):9-35.

5. Huang X. Expansion of Chinese social health insurance: who gets what, when and how? Journal of Contemporary China. 2014;23(89):923-951.

6. Liu Y. Reforming China's urban health insurance system. Health Policy. 2002;60:133-150.

7. Hsiao WC. The political economy of Chinese health reform. Health Economics, Policy and Law. 2007;2(3):241-249.

8. Duckett J. Challenging the economic reform paradigm: policy and the politics in the early 1980s' collapse of the rural cooperative medical system. The China Quarterly. 2011;205:80-95.

9. Ho LS. Market reforms and China's health care system. Social Science & Medicine. 1995;41(8):1065-1072.

10. Kanbur R, Zhang X. Spatial inequality in educations and health care in China. China Economic Review. 2005;16:189-204.

11. World Health Organization. Health insurance systems in China: A briefing note [Internet]. 2010 [citado 10 may 2016]. Disponible en: http://tinyurl.com/zeqamk9

12. Lin W, Liu GG, Chen G. The Urban Resident Basic Medical Insurance: A landmark reform towards universal coverage in China. Health Economics. 2009;18(Suppl 2):S83-S96.

13. Huang X. Four worlds of welfare: Understanding subnational variation in Chinese social health insurance. The China Quarterly. 2015;222:449-474.

14. Gao Q. Redistributive nature of the Chinese social benefit system: progressive or regressive? The China Quarterly. 2010;201:1-19.

15. Eggleston K, Hsiao WC, Liu Y. Equity in health and health care: The Chinese experience. Social Science & Medicine. 1999;49:1349-1356.

16. Liu J. Dynamics of social health insurance development: Examining the determinants of Chinese basic health insurance coverage with panel data. Social Science & Medicine. 2011;73:550-558.

17. Liu GG, Pan J. The determinants of Chinese provincial government health expenditures: Evidence from 2002-2006 data. Health Economics. 2012;21:757-777.