Research Article | | Peer-Reviewed

On the Governance of the Basic Healthcare Security System and Economic Development in China in the Context of COVID-19

Received: 7 November 2023     Accepted: 18 December 2023     Published: 20 December 2023
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Abstract

In response to the spread of COVID-19, China has taken a series of special basic health security measures aiming to restore and promote economic development. Based on analysis, it is believed that the institutional governance of basic healthcare security in China plays an important role in the economic development in the context of the pandemic in such aspects as safeguarding healthy labor, regulating and allocating resources, promoting economic growth and encouraging residents' consumption. The above practice has proven that basic healthcare security and economy can develop together and promote each other, the Chinese experience behind which includes: adhering to the principle and criteria of putting people and their interests first in all institutional arrangements and measures, improving governance flexibility and responsiveness with policies as the tools, promoting the reform of “medical treatment, medical insurance and medicine linkage” and forming the joint force of multiple systems with basic healthcare security as the link, thus promoting economic development and consolidating the multi-tiered basic healthcare security system to solve the problem of poverty and achieve common prosperity. However, while the basic healthcare security promotes economic development in China, problems and challenges in the future have been exposed, including how China’s basic healthcare security system can better match the economic development level in the context of the pandemic, how to balance the sustainability of the basic healthcare security fund and public health investment, how to further improve the legalization and marketization of basic healthcare security governance, how to improve the fairness of the basic healthcare security system and how to avoid improper use of funds, etc.

Published in American Journal of Clinical and Experimental Medicine (Volume 11, Issue 6)
DOI 10.11648/j.ajcem.20231106.11
Page(s) 97-107
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Economic Recovery and Growth, Basic Healthcare Security, Basic Healthcare Insurance and Medical Assistance, COVID-19, China

References
[1] Zhu, Q. Research on Fiscal and Tax Policies for Overcoming the Epidemic of COVID-19. Public Finance Research 2020, 4, 9-14.
[2] Zheng, L. Social Health Insurance Reform and Economic Growth: Simulation Analysis in China. International Journal of Business and Economics Research 2019, 8, 458-468.
[3] Ihori, T.; Kato, R. R.; Kawade, M.; et al. Health insurance reform and economic growth: Simulation analysis in Japan. Japan and the World Economy 2011, 23, 227-239.
[4] Wang, K,; Lee, Y.; Lin, C.; et al. The effects of health shocks on life insurance consumption, economic growth, and health expenditure: A dynamic time and space analysis. Sustainable Cities and Society 2018, 37, 34-56.
[5] Romer, C. D.; Romer, D. H. A social insurance perspective on pandemic fiscal policy: Implications for unemployment insurance and hazard pay. National Bureau of Economic Research, U. S., 2021.
[6] Qiu, Y. Development of China's Healthcare System in the PastSeventy Years: Review and Analysis. Chinese Social Security Review 2019, 3, 89-101.
[7] Whalley, J.; Zhao, X. The contribution of human capital to China's economic growth. China Economic Policy Review 2013, 2, 1350001-1-1.
[8] The State Council Information Office of the People’s Republic of China. Development of China’s Public Health as an Essential Element of Human Rights; Foreign Languages press: Beijing, CHN, 2017; pp. 1-51.
[9] Liu, C.; Liu, A.; Xu, D. Influence of China's Overall Planning for Urban and Rural Medical Insurance on Citizen Health. American Journal of Health Behavior 2022, 46, 248-258.
[10] Yujiao JIA. The Function and trend of Social Security in National Governance from the Perspective of fighting against Covid-19. Social Policy Research 2020, 2, 3-12.
[11] Qian X. China’s social security response to COVID-19: Wider lessons learnt for social security’s contribution to social cohesion and inclusive economic development. International Social Security Review 2020, 73, 81-100.
[12] Qian, Z.; Zuo, H.; Yang, L.; et al. Analysis of the Impact of The COVID-19 on China's Consumption Growth. Beijing Financial Review 2020, 1, 97-104.
[13] Vellas, C.; Delobel, P.; de Souto Barreto P.; et al. COVID-19, virology and geroscience: a perspective. The journal of nutrition, health & aging 2020, 24, 685-691.
[14] The data comes from China Statistical Yearbook, Statistical Bulletin of Human Resources and Social Security Development, China Health and Family Planning Yearbook and Statistical Bulletin of China Medical Security Development over the years.
[15] China National Bureau of Statistics. The rapid growth of residents' income level and the remarkable improvement of their quality of life -- The 19th Report Series on the Achievements of Economic and Social Development since the 18th National Congress of the Communist Party of China. Available online: http://www.stats.gov.cn/xxgk/jd/sjjd2020/202210/t20221011_1889192.html (accessed on 24 October 2022).
[16] Wang, D. Can social security boost domestic consumption in the People's Republic of China? ADBI Working Paper, No. 215, Asian Development Bank Institute (ADBI), Tokyo, JPN, 2010.
[17] Xi, H. China's Social Security under the Triple Challenges of the COVID-19 Pandemic, Super Aging and New Forms of Employment. Chinese Social Security Review 2022, 6, 35-46.
[18] Sun, S. Research on legislation of basic medical insurance in China; Law press: Beijing, CHN, 2014; pp. 1-3.
[19] Yip, W.; Fu, H.; Chen, A. T.; et al. 10 years of health-care reform in China: progress and gaps in universal health coverage. The Lancet 2019, 394, 1192-1204.
[20] Wang Z. New Trend of Medical Insurance under the "Medical Treatment, Medical Insurance and Medicine Linkage". China Health 2016, 7, 45.
[21] Economic Information Daily. "Medical Treatment, Medical Insurance and Medicine Linkage" linkage promotes high-quality development of the medical system. Available online: http://www.jjckb.cn/2021-07/09/c_1310050867.htm (accessed on 24 October 2022).
[22] Tao, W.; Zeng, Z.; Dang, H.; et al. Towards universal health coverage: lessons from 10 years of healthcare reform in China. BMJ global health 2020, 5, e002086.
[23] It is compiled according to the Statistical Express of Medical Security Development in 2020 issued by the National Healthcare Security Administration of China.
[24] Shin, K. Y. Work in the post-COVID-19 pandemic: The case of South Korea. Globalizations 2022, 19, 487-496.
[25] Looking at the real burden of medical expenses from statistical data. China Health Insurance 2021, 2, 8-9.
[26] Jin, H.; Qian, X. How the Chinese government has done with public health from the perspective of the evaluation and comparison about public-health expenditure. International Journal of Environmental Research and Public Health 2020, 17, 9272.
[27] Global Economic and Financial Research Group of Bank of China Research Institute. Global Economic and Financial Outlook Report. No. 1, Fuxingmennei Street, Beijing, CHN, 2020.
[28] Geoffrey W. S. Okamoto. China’s Post-Pandemic Growth: Deepening Reforms and Pursuing Rebalancing. Available online: https://www.imf.org/en/News/Articles/2021/09/23/sp092221-Chinas-Post-Pandemic-Growth-Deepening-Reforms (accessed on 24 October 2022).
[29] See relevant news reports for example: The minimum payment period of medical insurance has risen to 30 years. Expert: It is not that there is no money left. It is to help underdeveloped regions. Available online: https://www.guancha.cn/economy/2022_07_18_649810.shtml (accessed on 24 October 2022).
[30] Behind the response of the National Healthcare Security Administration: What bills did the medical insurance buy? There is a place to normalize nucleic acid frequency reduction. Available online: https://news.xtol.cn/2022/0527/5512348.shtml (accessed on 24 October 2022).
[31] Ying Y. Health oriented exploration of the overall use of basic medical insurance funds and public health service funds. China Health Insurance 2020, 5, 7-10.
[32] Wang Y. The Reform of China's Health Services and Social Health Protection: In the Context of the Covid-19 Pandemic Prevention and Control. Chinese Social Security Review 2022, 6, 57-69.
[33] Choi, W. I.; Shi, H.; Bian, Y.; et al. Development of Commercial Health Insurance in China: A Systematic Literature Review. BioMed research international 2018, 1-18.
[34] Wang, J.; Xin, M.; Wu, X.; et al. Striving for the Right Time: Challenges and Breakdowns of China's Commercial Health Insurance. Available online: https://www.mckinsey.com.cn/%e5%a5%8b%e6%a5%ab%e6%ad%a3%e5%bd%93%e6%97%b6%ef%bc%9a%e4%b8%ad%e5%9b%bd%e5%95%86%e4%b8%9a%e5%81%a5%e5%ba%b7%e9%99%a9%e7%9a%84%e6%8c%91%e6%88%98%e4%b8%8e%e7%a0%b4%e5%b1%80/ (accessed on 24 October 2022).
[35] Wang, Z. The Equity of Social Health Insurance under the background of Common Prosperity: With Employed Workers' Health Insurance as an Example. Economic Perspectives 2022, 3, 63-64.
[36] Zheng G. China's Social Security and Economic Development: Retrospect and Prospect. Journal of Renmin University of China 2018, 32, 37-49.
[37] Hao, C.; Tan, Z. Report on Development of the Supervision and Management of China's Healthcare Security Fund (2021); Social Science Academic Press: Beijing, CHN, 2021; pp. 31-36.
Cite This Article
  • APA Style

    Zhang, L. (2023). On the Governance of the Basic Healthcare Security System and Economic Development in China in the Context of COVID-19. American Journal of Clinical and Experimental Medicine, 11(6), 97-107. https://doi.org/10.11648/j.ajcem.20231106.11

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    ACS Style

    Zhang, L. On the Governance of the Basic Healthcare Security System and Economic Development in China in the Context of COVID-19. Am. J. Clin. Exp. Med. 2023, 11(6), 97-107. doi: 10.11648/j.ajcem.20231106.11

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    AMA Style

    Zhang L. On the Governance of the Basic Healthcare Security System and Economic Development in China in the Context of COVID-19. Am J Clin Exp Med. 2023;11(6):97-107. doi: 10.11648/j.ajcem.20231106.11

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  • @article{10.11648/j.ajcem.20231106.11,
      author = {Liang Zhang},
      title = {On the Governance of the Basic Healthcare Security System and Economic Development in China in the Context of COVID-19},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {11},
      number = {6},
      pages = {97-107},
      doi = {10.11648/j.ajcem.20231106.11},
      url = {https://doi.org/10.11648/j.ajcem.20231106.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20231106.11},
      abstract = {In response to the spread of COVID-19, China has taken a series of special basic health security measures aiming to restore and promote economic development. Based on analysis, it is believed that the institutional governance of basic healthcare security in China plays an important role in the economic development in the context of the pandemic in such aspects as safeguarding healthy labor, regulating and allocating resources, promoting economic growth and encouraging residents' consumption. The above practice has proven that basic healthcare security and economy can develop together and promote each other, the Chinese experience behind which includes: adhering to the principle and criteria of putting people and their interests first in all institutional arrangements and measures, improving governance flexibility and responsiveness with policies as the tools, promoting the reform of “medical treatment, medical insurance and medicine linkage” and forming the joint force of multiple systems with basic healthcare security as the link, thus promoting economic development and consolidating the multi-tiered basic healthcare security system to solve the problem of poverty and achieve common prosperity. However, while the basic healthcare security promotes economic development in China, problems and challenges in the future have been exposed, including how China’s basic healthcare security system can better match the economic development level in the context of the pandemic, how to balance the sustainability of the basic healthcare security fund and public health investment, how to further improve the legalization and marketization of basic healthcare security governance, how to improve the fairness of the basic healthcare security system and how to avoid improper use of funds, etc.
    },
     year = {2023}
    }
    

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    AB  - In response to the spread of COVID-19, China has taken a series of special basic health security measures aiming to restore and promote economic development. Based on analysis, it is believed that the institutional governance of basic healthcare security in China plays an important role in the economic development in the context of the pandemic in such aspects as safeguarding healthy labor, regulating and allocating resources, promoting economic growth and encouraging residents' consumption. The above practice has proven that basic healthcare security and economy can develop together and promote each other, the Chinese experience behind which includes: adhering to the principle and criteria of putting people and their interests first in all institutional arrangements and measures, improving governance flexibility and responsiveness with policies as the tools, promoting the reform of “medical treatment, medical insurance and medicine linkage” and forming the joint force of multiple systems with basic healthcare security as the link, thus promoting economic development and consolidating the multi-tiered basic healthcare security system to solve the problem of poverty and achieve common prosperity. However, while the basic healthcare security promotes economic development in China, problems and challenges in the future have been exposed, including how China’s basic healthcare security system can better match the economic development level in the context of the pandemic, how to balance the sustainability of the basic healthcare security fund and public health investment, how to further improve the legalization and marketization of basic healthcare security governance, how to improve the fairness of the basic healthcare security system and how to avoid improper use of funds, etc.
    
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Author Information
  • School of Law, Shanxi University, Taiyuan, China

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