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Management capacity and health insurance: the case of the New Cooperative Medical Scheme in six counties in rural China

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Yan, Fei, Raven, Joanna, Wang, Wei, Tolhurst, Rachel, Zhu, Kun, Yu, Baorong and Collins, Charles (2011) 'Management capacity and health insurance: the case of the New Cooperative Medical Scheme in six counties in rural China'. The International Journal of Health Planning and Management, Vol 26, Issue 4, pp. 357-378.

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Abstract

Abstract
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 (c) 2010 John Wiley & Sons, Ltd.

Item Type: Article
Uncontrolled Keywords: management capacity rural health insurance China
Subjects: WA Public Health > Accident and Injury Prevention. Disasters > WA 250 General works
WA Public Health > Health Administration and Organization > WA 525 General works
Faculty: Department: Groups (2002 - 2012) > Child & Reproductive Health Group
Groups (2002 - 2012) > International Health Group
Digital Object Identifer (DOI): https://doi.org/10.1002/hpm.1028
Depositing User: q Moody
Date Deposited: 05 Jan 2012 10:05
Last Modified: 06 Feb 2018 13:03
URI: http://archive.lstmed.ac.uk/id/eprint/2276

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