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1、,HEALTH CARE REFORM,Obamas health care reform,Everybody should have some basic security when it comes to their health care. Barack Obama,Purpose,The plan will permit millions more to receive free coverage through the Medicaid program for the poor The plan aims to make health insurance available to t
2、hirty-two million people now without it. The plan is expected to raise the insurance coverage to ninety-five percent within several years.,Effect of the Health care Reform,It will make health care more affordable It sets up a new competitive health insurance market It brings greater accountability t
3、o health care It will end discrimination It puts our budget and economy on a more stable path,Health care 2010,Health-care overhaul is up against long campaign across U.S. Efforts to block a key provision of the new health-care overhaul law are underway in 33 states,Peoples Suggestions & Comments,Go
4、vernment should provide health insurance The major advantage of this system Government would pay for the insurance The other enhancements Whats the big idea and benefit here ?,Health care reform in our country,REPORT ON THE WORK OF THE GOVERNMENT Wen Jiabao,Progress In Healthcare Reform in 2009,gove
5、rnment spent 127.7 millions on healthcare, an increase of 49.5% medical insurance covered 401 million residents Rural medical care reached 8.3million people allocated 42.9 billion yuan for retired workers drug system has been implemented in 30% of health care institutions,Aim in 2010,medical insuran
6、ce rise to 120 yuan per person per year , up 50% over last year give 60% of community medical institutions high priority to the use of basic drugs. raise the quality of service; control medical costs; and improve relations between medical service providers and consumers.,Health care systems are desi
7、gned to meet the health care needs of target populations. There are a wide variety of health care systems around the world. In some countries, the health care system planning is distributed among market participants, whereas in others planning is made more centrally among governments, trade unions,
8、charities, religious, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has often been evolutionary rather than revolutionary.,What is health care system?,the Goals for health system,Good health Responsiveness t
9、o the expectations of the population Fair financial contribution.,Quality Efficiency Acceptability on one dimension and equity on another,the World Health Report 2000 - Health systems: improving performance (WHO, 2000),Duckett (2004) proposed a two dimensional approach to evaluation of health care s
10、ystems,V,S,There are generally five primary methods of funding health care systems: 1.direct or out-of-pocket payments 2.general taxation to the state, county or municipality 3.social health insurance 4.voluntary or private health insurance 5.donations or community health insurance.,Financing,Primar
11、y care,Health care was provided in both rural and urban areas through a three-tiered system. The first tier was made up of barefoot doctors working out of village medical centers. At the next level were the township health centers, which functioned primarily as out-patient clinics for about 10,000 t
12、o 30,000 people each. Only the most seriously ill patients were referred to the third and final tier, the county hospitals, which served 200,000 to 600,000 people each and were staffed by senior doctors who held degrees from 5-year medical schools. Health care in urban areas was provided by paramedi
13、cal personnel assigned to factories and neighborhood health stations.,Public health is concerned with threats to the overall health of a community based on population health analysis. The population in question can be as small as a handful of people or as large as all the inhabitants of several cont
14、inents (for instance, in the case of a pandemic). Public health is typically divided into epidemiology, biostatistics and health services. Environmental, social, behavioral, and occupational health are also important subfields. A child being immunized against polio.,What is public health?,Management
15、,Vaccination policy Diabetes HIV/AIDS Antibiotic resistance,Health Care in China,CHINAS PRESENT HEALTH STATUS:,FINANCING CHINAS HEALTH SYSTEM:,CHINAS PRESENT HEALTH STATUS:,China is the most populous nation in the world with a population of approximately 1.33 billion people. The provinces, which pos
16、sess a high degree of fiscal independence, are themselves divided into 2182 counties (averaging 400,000 residents), 47,000 townships (averaging 18,000 residents) and 740,000 villages (averaging 1000 residents). The urban population has grown substantially since the 1960s.,Population:,The expansion and dynamic, productivity-driven growth of capitalist production in the most industrialized nations has been driven, in part, by the edpimemiological transition from inf
