Health care in China is highly inequitable

BMJ 1997; 315 doi: (Published 04 October 1997) Cite this as: BMJ 1997;315:831
  1. Richard Tomlinson
  1. Beijing

    Two decades of radical economic reform in China has had profound repercussions on access to health care, creating deep divisions between the urban and rural population, according to a new study by the World Bank.

    The shift to a market economy, the collapse of rural “risk pooling” health schemes, and the predominance of fee for service treatment have led to financial access to health care becoming inequitable, says the report, Financing Health Care. China's health sector faces deep problems today, it warns.

    The data are stark, especially concerning the rural population of …

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