Health financing
WHO/Yoshi Shimizu
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Health financing

Health financing in China

China’s overall health reform goal is to establish a universal basic health care system providing safe, effective, convenient and affordable health services to all. Health financing policy ensures that financial resources are effectively allocated and that different population groups, especially the most vulnerable and high-risk, can access affordable health care services.

In China, the basic health insurance system covers over 95% of the population. In 2018, the National Healthcare Security Administration was established, managing all basic health insurance schemes in China. Its establishment is a milestone in China’s health sector reform and represents opportunities to further improve the efficiency of the health system on cost containment, quality of services and better value for money.

WHO China/Beijing Fotolink Technology Development Co., Ltd.
Queues at hospital cashier windows in China
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More than 300% increase

China’s government health expenditure has more than tripled since health reforms began in 2009, increasing from 482 billion RMB in 2009 to 1640 billion RMB in 2018.

WHO China/Beijing Fotolink Technology Development Co., Ltd
Paying for out of pocket health care expenses
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Out of pocket expenses down 23.6%

The percentage of out-of-pocket expenditure accounting for total health expenditure dropped from 37.46% (2009) to 28.61% (2018)  – the lowest point in 20 years.

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