Comparative financing analysis and political economy of noncommunicable diseases

Jakovljević, Mihajlo; Jakab, Melitta; Gerdtham, Ulf G.; McDaid, David; Ogura, Seiritsu; Varavikova, Elena A.; Merrick, Joav; Ádány, Róza; Okunade, Albert A.; Getzen, Thomas E.

doi:10.1080/13696998.2019.1600523

Cited by 159 publications

(133 citation statements)

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“…However, China's public health service system is still facing insufficient integration problems such as poor service items integration, insufficient intersetoral actions, isolated IT system and so on. The effectiveness of cooperation mechanisms on health issues among different sectors depends heavily on factors such as organizational structure, management, culture, and trust [76]. We argue that ever effective coordinate mechanisms such as the Patriotic Health Campaign Committee in China can be further applied to cope with emerging public health challenges such as ageing and NCDs.…”

Section: Discussionmentioning

confidence: 99%

“…Unlike infectious diseases which have relatively short acute phase and take less time to cure, NCDs will bring massive and long-term burden for both patients and the society [95]. Moreover, the prevalence of NCDs among the elderly is disproportionately high, and some of them often have more than one NCDs [76]. Emerging NCDs burden coupled with aging population means that sustainability challenge in public health system will be very serious, even in the richest OECD countries [76].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the prevalence of NCDs among the elderly is disproportionately high, and some of them often have more than one NCDs [76]. Emerging NCDs burden coupled with aging population means that sustainability challenge in public health system will be very serious, even in the richest OECD countries [76]. Thirdly, social and economic transformation have accelerated urbanization and changes in life style, leading to many risk factors such as obesity, sedentary lifestyles, stress, tobacco/alcohol/ other substances abuse, and exposure to pollution [95].…”

Section: Discussionmentioning

confidence: 99%

“…Given the complexity of the issue, it is imperative that government agencies and civil society should work together [75]. There are many effective intersectoral heath promotion programs such as Finland Mental Health Improvement, The Public Health Agency of Canada's Innovation Strategy, Health Promotion Switzerland, Thai Health Promotion Foundation [76].…”

Section: Other Sectors Are Not Fully Engagedmentioning

confidence: 99%

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The development and reform of public health in China from 1949 to 2019

et al. 2019

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Background Public health system plays a vital role in the development of health sector in China and protects the health of Chinese people. However, there are few comprehensive reviews and studies focusing on its evolution and reform. It is worthwhile to pay attention to the public health development in China, given that the history and structure of public health system have their own characteristics in China. Methods The study is a retrospective review of the development public health over seven decades in China. It presents the findings from some national or provincial survey data, interviews with key informants, reviews of relevant published papers and policy contents. Results This study identified four key stages that public health experienced in China: the initial stage centering on prevention, the stage of deviation with more attention to treatment but little to prevention, the recovery stage after SARS(Severe Acute Respiratory Syndromes) Crisis, and the new stage to an equitable and people-centered system. In the latest stage, the National Basic Public Health Service Program (NBPHSP) is implemented to respond the threat of noncommunicable diseases (NCDs) and has achieved some initial results, while there are still many challenges including service quality, poor integration among service items and IT system, lack of quality professionals and insufficient intersectoral endeavor. Discussion There are unique Chinese wisdom and remarkable achievements as well as twists and turns on the development of China’s public health. Prevention-first, flexible structure of the system, multi-agency collaboration and mass mobilization and society participation are the main experience of public health in early stage. Despite twists and turns since 1980s, public health system in China shows substantial resilience which may be from the government’s continuous commitment to social development and people’s livelihoods and its flexible governance. In 2010s, in order to achieve the well-off society, Chinese government pays unprecedented attention to health sector, which bring a new wave of opportunities to public health such as remaining the NBPHSP for priority. The evolution and reform of China’s public health is based on its national condition, accumulates rich experience but also faces many common worldwide challenges. Getting this development and reform right is important to China’s social and economic development in future, and China’s experience in public health may provide many lessons for other countries. Conclusion Public health in China needs to focus on prevention, strengthen multi-agency coordination mechanism, improve the quality of public health services in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Other Sectors Are Not Fully Engagedmentioning

confidence: 99%

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The development and reform of public health in China from 1949 to 2019

et al. 2019

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“…How to meet the needs of LTC and establish a sustainable LTC system is becoming a long-term and severe worth consideration policy problem [4][5][6][7][8][9]. The lack of adequate understanding of LTC demand and supply leads to inadequate financial preparation and payment difficulties for the elderly [10]. For many older people and their families, out-of-pocket payments for LTC represent a catastrophic economic burden.…”

Section: Introductionmentioning

confidence: 99%

Does COVID-2019 have an Impact on the Purchase Intention of Commercial Long-Term Care Insurance among the Elderly in China?

Zhang

Chen

et al. 2020

Healthcare

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Purpose: As an important measure to alleviate long-term care (LTC) costs for the disabled due to the aging of the population, long-term care insurance (LTCI) system has been paid more attention in China. In addition to the government-led public LTCI system that has been piloted in cities such as Qingdao, Chongqing and Shanghai, health insurers such as the China Life Insurance Company are also experimenting with various types of commercial LTCI in the private market. However, the commercial LTCI market is developing very slowly due to public awareness and other reasons. On the other hand, COVID-2019 has had an impact on the cognition of the importance of long-term care for the elderly due to the fact that the death cases of COVID-2019 have been mainly concentrated in the elderly population with chronic diseases such as hypertension. Therefore, the

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Financing needs, spending projection, and the future of health in Brazil

2021

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In this paper we adopt a growth accounting projection model to estimate and characterize health-financing needs in Brazil as well as to assess the extent to which financing needs may diverge from spending capacity in the future. We estimate an annual increase of 0.71% in the share of projected financing needs relative to GDP, with excess growth rates being 0.74% and 0.69% for the public and private health sectors, respectively. Institutional reforms and public spending restrictions may leverage public-private segmentation in health financing throughout the next decades, thus potentially leading to losses of equity in the system. Our projections contribute to a scant empirical literature on health financing sustainability in low-and middle-income countries and shed light on the role of spending capacity and institutional constraints over the path towards universal health coverage.

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Comparative financing analysis and political economy of noncommunicable diseases

Cited by 159 publications

References 31 publications

The development and reform of public health in China from 1949 to 2019

The development and reform of public health in China from 1949 to 2019

Does COVID-2019 have an Impact on the Purchase Intention of Commercial Long-Term Care Insurance among the Elderly in China?

Financing needs, spending projection, and the future of health in Brazil

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