Services publics et financement privé - la politique de santé chinoise au carrefour

Lundi 09 janvier 2017

Petit déj. éco avec le Dr. Armin Müller

Dr. Armin Müller is a postdoc at the chair of Society and Economy of Modern China at the University of Göttingen (Germany). He received his MA in Political Science, Chinese Studies and Sociology from the University of Tübingen in 2008. At the University of Duisburg-Essen, he wrote his doctoral thesis on rural health insurance in the People’s Republic of China between 2009 and 2014. He subsequently spent one semester with the Transnational Studies Initiative at Harvard University working on Transnational Social Protection. His main research interests are social policy, health policy, migration, public services and education in the People’s Republic of China.

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In recent years, the health sector of the PRC has turned into a source of concern for the government. China experiences steeply rising health costs which can only partly be attributed to the rapid demographic transition and rise of chronic, non-communicable diseases. Distrust against medical staff facilitates a reluctance of people to seek professional medical care, illness-induced poverty, and increasing violence of patients against doctors and nurses.
The roots of these problems lie in China’s particular institutional path of transition. On the one hand, the state largely retreated from the budgetary financing of healthcare providers, with most local governments unable or unwilling to fund public hospitals appropriately. But on the other hand, hospitals were required to perform social functions
such as providing cheap curative care, preventive or mother-child care. The contradictory roles of the state and the market undermine regulatory enforcement in the health sector and the central government’s ability to govern healthcare in a local context.
The New Health Reform aims at a comprehensive overhaul of China’s healthcare system and at re-institutionalizing the “public welfare orientation” of its healthcare providers. Among its core initiatives are a gradual abolishment of drug profits and a reconsolidation of budgetary support for healthcare providers. At first, the costs of the reform were largely shifted to local governments, which raised doubts about their effectiveness. Fiscal reforms initiated since 2014 may have the potential to provide a solid financial foundation for the healthcare system, thus allowing for more effective regulatory enforcement and monitoring.

La rencontre se tiendra en anglais et sera animée par Jean-François Di Meglio (Asia Centre)

La rencontre aura lieu le 9 janvier à 8h45 à l'Inalco (Salle 221), 2 rue de Lille, Paris
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