On Developing a Rural Healthcare System
From Community Welfare to National Public Service- based Welfare
DOI:
https://doi.org/10.56226/43Keywords:
rural healthcare, China, Health system governance, health policy, rural hospital, ccommunty healthcareAbstract
Background:
Healthcare related welfare is a matter of resource allocation. In modern market economies, redistribution in Western societies is accomplished through state welfare systems to balance the inequality of market resource allocation. However, resource allocation in socialist countries has its own peculiarities. And the relationship between market transformation (social transformation) and resource allocation methods in post-socialist countries is an important academic topic. This paper examines the changes in the rural cooperative medical system(RCMS)in China in order to explore the changes in rural cooperative healthcare governance mechanisms during recent social transformation.
Objectives:
The main purpose of this paper is to place the rural cooperative health care system(RCMS)in a macroeconomic-political context and to compare the changes in cooperative health care resource allocation mechanisms across time.
Methods:
The article undertakes a narrative literature review approach and method. The review used the following sources: Web of Science and PubMed. The search used the keywords" rural cooperative medical care system", "community benefits", " public service-based welfare" and "governance",and limited to articles published between January 2019 and June 2022. The selection of articles was based on the inclusion/exclusion criteria (keywords defined and time span of publication).
Results:
From collectivized cooperative medical care System(RCMS) to today's New Rural Cooperative Medical System(NRCMS), its governance mechanism has changed and the nature of welfare has changed with it. It has also changed from community welfare, where organized grassroots communities supply medical services, to government-led public service-based welfare.
Main Contribution to Evidence-Based Practice:
The paper shows the process of change in China's rural cooperative healthcarel system(RCMS), mainly analyzing the change of healthcare welfare governance mechanism. Thus ,it provides a reference for governmental health policies development and for international researchers.
References
Chen, Y., Wu, Y., Wang, Q., & Ji, H. (2022). On difficulties faced by patients following orthopedic day surgery: an update on International Evidence . International Healthcare Review (online). https://doi.org/10.56226/ihr.v1i2.35
Dsouza, B. (2022). On Sustainable Health Systems: A Research Emergency in Pandemic times. International Healthcare Review (online), 1(1). https://doi.org/10.56226/ihr.v1i1.7
Gao Xingyu.(2019).70 Years of rural cooperative medical care: review, problems and prospects - -- based on social change perspectives .Fujian Forum - Humanities and Social Sciences Edition.2019;8:164-175.
Huang Zongzhi.(2008)Centralized parsimonious governance - semi-formal grassroots administration with para-officials and dispute resolution in China.Open Times.2008;2:10-29. doi:10.3969/j.issn.1004-2938.2008.02.002
Ke Song, Wei-Bai Liu, Yan Qing et al.(2021) Efficiency Analysis of New Rural Cooperative Medical System in China: Implications for the COVID-19 Era. Frontiers in Psychology .2021;12(5):686954. doi:10.3389/fpsyg.2021.686954.
Li Quanping and Xinglong.(2020)On the typicalization of medical treatment in Mishan in the age of collectivization. Journal of Shanxi University (Philosophy and Social Science Edition).2020;43(5):95-102.doi:10.13451/j.cnki.shanxi.univ(phil.soc.).2020.03.012.
Li Quanping.(2020) Medical field and rural society in Shanxi in the age of collectivization. The dissertation. Shanxi University.2020.doi: 10.27284/d.cnki.gsxiu.2020.002046.
Li, N., GUO, M., YOU, S., & JI, H. (2022). On Patient Readiness for Hospital Discharge: an update on recent Evidence. International Healthcare Review (online). https://doi.org/10.56226/ihr.v1i2.30
Li, N., GUO, M., YOU, S., & JI, H. (2022). On Patient Readiness for Hospital Discharge: an update on recent Evidence. International Healthcare Review (online). https://doi.org/10.56226/ihr.v1i2.30
Lloyd Williams, D. (2022). On Healthcare Research Priorities in the USA : From Long COVID to Precision Health, what else is new?. International Healthcare Review (online), 1(1). https://doi.org/10.56226/ihr.v1i1.14
Monachino, M. . (2022). On Healthcare Research for Disease Prevention: Critical Knowledge Gaps in European Public Health. International Healthcare Review (online), 1(1). https://doi.org/10.56226/ihr.v1i1.6
Nguyen, T. L. H. (2022). On Improving Healthcare with a world perspective: Evidence for Global Health Programs. International Healthcare Review (online), 1(1). https://doi.org/10.56226/ihr.v1i1.10
Prasenjit Durara.(2003)Culture,power,and the state:rural north China,1900—1942.translated by Wang Fuming. Nanjing: Jiangsu People's Publishing House. 2003:15—25.
QIN Li-jian, Chien-ping CHEN, LI Yu-heng et al.(2021) The impact of the new rural cooperative medical scheme on the“health poverty alleviation”of rural households in China. Journal of Integrative Agriculture. 2121;20(4):1068–1079.doi:10.1016/S2095-3119(20)63372-X.
Shang Hu-Ping and Huang Liuzhao.(2020) A study on the changes in the participation rate of cooperative medical care in new China's rural areas - an exploration of measurement based on 316 cooperative medical care policy documents at the central level.China Rural Economy.2020;7:99-121.
Sun Shuyun and Ren Xuejiao.(2020). The evolution and changes of the micro-elements mechanism of rural cooperative medical care in China. Medicine and Philosophy.2020; 5(41):67—73.
Wenhao Qi, Fang Liu, Tian Zhang et al.(2022) Can China’s new rural cooperative medical system improve farmers’ subjective well-being? Frontiers in Public Health.2022;10(2):848539. doi:10.3389/fpubh.2022.848539.
Zhang Haizhu.(2020)Discourse construction of public policy: the example of rural cooperative medical policy process. Beijing: China Social Science Press. 2020:174.
Zhang Ziguan.(2010)Sixty Years of Rural Health: Selected Essays on Rural Health by Zhang Ziguan. Beijing: China Union Medical University Press. 2010:11-13.
Zhao, Z., & Niu, M. (2022). On the Treatment and Disposal of Other Medical Waste based on Bluetooth and LoRa Wireless IoT: A case study. International Healthcare Review (online). https://doi.org/10.56226/ihr.v1i2.34

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 The Publisher

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.