Study Of China's Urban Health Care Reform

Since reform and opening-up, China's economy has developed quickly, but problems arising from the reform of medical system are still serious. The original medical system can not adapt to market-oriented economic system, and the existing medical system are been critiqued as "too market-oriented". In the supply aspect of medical care market, public hospital has collected 90% medical resources and monopolizes in hospital industry. Therefore the behavior of public hospital is lack of restraint, and hospital bribe problems are serious. In the demand aspect of medical care market, on the one hand, "aging of population" makes the prospect of hospital industry soundly; on the other hand, the growth rate of medical expense exceeds the growth rate of local residents' annual income. Therefore the demand of medical care is relatively reduced and the number of urban inhabitant who receiving medical care reduces too.It is clear that the problem of how to reform the urban medical system has already become a focus to many people. But they have not agreed on "how to". Some one suggests that the ownership structure of hospital should change. Some one suggests that the coverage of medical insurance should expand. This article admires these viewpoints but holds the view that the reform of urban medical system must carry on from both sides as a whole.This paper analyses the current status of China's urban medical care market and discusses the new way for how to reform the medical system through demonstration and comparison study. This paper consists of four parts: Part One gives a literature review on both domestic and foreign existing theory about the medical care market Part Two reviews the reform of urban medical finance system, the existence problem is the growth of society medical insurance coverage can not catch up with the reduction of medical security coverage. This shows the proportion of expenses paid by patients in the medical fund increase. Part Three reviews the reform of urban medical providing system mainly including the reform of hospital ownership and the reform of hospital classification. This shows that public hospitals monopolize in the urban medical care market. Part Four makes some suggestions on the reform of...