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    Primary Health Care meets the Market: Lessons from China and Vietnam

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    Wp53.pdf (76.79Kb)
    Date
    1997
    Author
    Bloom, Gerald
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    Abstract
    Many low and middle income countries are considering radical health sector reforms. Their policy-makers are asking fundamental questions about how services should be financed, the relationship between service providers and government, and the role of the state in ensuring that health services are cost-effective and equitable. This paper outlines some lessons they can learn from China and Vietnam. Both countries developed low cost rural health services during the period between the early 1950s and the mid-1970s. Their example strongly influenced international health policy. However, other countries did not give adequate consideration to how to adapt structures developed in egalitarian command economies for market economies with substantial socio-economic inequalities. China and Vietnam have been liberalising their economies for several years. This has affected their health services in a number of ways. Those who can afford them have a wider choice of health services, but costs have risen and there are greater differences in access to medical care. The Chinese and Vietnamese governments are seeking strategies to make their health services more cost effective and equitable. Policy-makers and researchers in low and middle income countries can learn useful lessons from their efforts to adapt their services during the transition to a market economy.
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    https://opendocs.ids.ac.uk/opendocs/handle/20.500.12413/3356
    Citation
    Bloom, G. (1997) Primary Health Care meets the Market: Lessons from China and Vietnam, IDS Working Paper 53, Brighton: IDS.
    Is part of series
    IDS working papers;53
    Library catalogue entry
    http://bldscat.ids.ac.uk/cgi-bin/koha/opac-detail.pl?biblionumber=81087
    Rights holder
    Institute of Development Studies
    Rights details
    http://www.ids.ac.uk/files/dmfile/IDSOpenDocsStandardTermsOfUse.pdf
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    • IDS Research [1594]

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