Medical Financial Assistance in Rural China: Policy design and implementation

نویسندگان

  • Yuebin Xu
  • Xiulan Zhang
  • Xunke Zhu
چکیده

This paper reviews the development of the Medical Financial Assistance program (MFA) in rural China, including design and implementation processes, and assesses major areas for improvement. Jointly financed by the central and local governments, MFA provides cash assistance to poor households for the purchase of medical services. Because policy design and implementation are decentralized to local governments, the schemes vary markedly across localities in terms of financing, benefit levels and payment methods. Constrained by limited financial resources, MFA benefits are granted only when recipients qualify by meeting a number of conditions. These conditions are disadvantageous to the poor, leading in general to low utilization of benefits by poor households. With increased financial input from central and local governments, the MFA schemes have been improved compared to their early design. However, additional institutionalized funding sources are needed in order to improve the policy further.

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تاریخ انتشار 2008