Health Affairs · 2004 · 66 citations · 4 references
Public AffairsHealth PolicyHealth Services AdministrationHealth InsuranceHealth Services ResearchPrimary CareHealth AccessHealth Care AccessHealth Care CostsHealth Care UtilizationHealth Services AccessQuality Of CareAmbulatory Care CostsAmbulatory Care UseHealth Care Utilization BarriersHealth Services DemandPrivate Primary Care ProvisionPublic Opinion In HealthcareUnmet Health NeedUnmet Healthcare Need
We present the findings of a United Nations Development Programme-World Health Organization study commissioned by China's Ministry of Health on use of public and private ambulatory care services in three Chinese provinces. We found much unmet medical need (16 percent), attributed mainly to the perceived high cost of care. Seventy-one percent had no health insurance (90 percent in rural and 51 percent in urban areas). For 33 percent, the last consultation was with a private practitioner. Widespread dissatisfaction with public providers (mainly high user fees and poor staff attitudes) is driving patients to seek cheaper but lower-quality care from poorly regulated private providers.
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China’s evolving health care market: how doctors feel and what they think
Meng-Kin Lim, Hui Yang, Tuohong Zhang et al. · Health Policy · 2004 · 24 citations
Public Affairs, Health Policy, Health Services Administration +13