| Management capacity and health insurance: the case of the New Cooperative Medical Scheme in six counties in rural China. | |
| | |
MedLine Citation:
|
PMID: 20333775 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
In 2003, China launched the New Cooperative Medical Scheme (NCMS) as a form of health insurance for rural areas. Counties play an important part in the management of the system, raising issues over the capacity of local government to manage complex health insurance systems. This paper examines the extent and impact of county level managerial capacity to manage the NCMS. The paper is largely based on qualitative data but supported by quantitative data. Policy makers, NCMS administrators, health providers and residents were interviewed in May 2006 in six counties in rural China. Management capacity was defined as the capability to bring together and use resources to carry out responsibilities. The results are grouped into three areas of management capacity: staff, organizational and contextual. Respondents complained about inadequate staffing, poor organizational resources and conduct of responsibilities in areas such as premium collection and remuneration. Key problems in contextual capacity included: counties are restricted in their ability to use resources for management; counties lack support from other organizations and suffer from a conflict of responsibilities. This paper underlines the importance of effective management capacity for NCMS at the decentralized level and suggests pointers for the content and process of management capacity development. Copyright © 2010 John Wiley & Sons, Ltd. |
| | |
Authors:
|
Fei Yan; Joanna Raven; Wei Wang; Rachel Tolhurst; Kun Zhu; Baorong Yu; Charles Collins |
Related Documents
:
|
8280015 - Why i like rural practice. 6310105 - Sporadic myalgic encephalomyelitis in a rural practice. 12769205 - Workforce patterns of rural surgeons in west virginia. 17059495 - What makes 'place' attractive to overseas-trained doctors in rural new zealand? 12617415 - Cultural differences: practising medicine in an islamic country. 16164945 - Nonoperative treatment of unicompartmental arthritis of the knee. |
Publication Detail:
|
Type: Journal Article Date: 2010-03-23 |
Journal Detail:
|
Title: The International journal of health planning and management Volume: 26 ISSN: 1099-1751 ISO Abbreviation: Int J Health Plann Manage Publication Date: 2011 Oct |
Date Detail:
|
Created Date: 2012-01-03 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8605825 Medline TA: Int J Health Plann Manage Country: England |
Other Details:
|
Languages: eng Pagination: 357-78 Citation Subset: H |
Copyright Information:
|
Copyright © 2010 John Wiley & Sons, Ltd. |
Affiliation:
|
Fudan School of Public Health, Shanghai 200032, China. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: EYS is a major gene for rod-cone dystrophies in France.
Next Document: Association between gastrointestinal manifestations following acetaminophen poisoning and outcome in...