The many documents available on the P4H Network’s digital platform reflect the network’s scope of work. The majority of documents are primary source materials created by country nationals or resources produced by organizations working in social health protection (SHP) and/or health financing (HF).
The collection provides information on SHP and/or HF reforms and universal health coverage processes from around the world as well as topical analysis and research.
Health impact and economic evaluation of the Expanded Program on Immunization in China from 1974 to 2024: a modelling study
The Expanded Program on Immunization (EPI) in China, initiated by WHO in 1974, has significantly reduced disease burden by vaccinating against eight pathogens, averting an estimated 703 million cases and 2.48 million deaths over 50 years. The program has also...
Analysis the status and spatio-temporal characteristics of the synergistic development of China’s multi-level medical insurance system
The study examines the development and spatio-temporal evolution of China's multi-level medical insurance system (MMIS) from 2011 to 2020, highlighting improvements in the coupling coordination index (CCI) which rose from a moderate disorder to a well-coordinated...
A retrospective study of insurance coverage status and economic cost of rare diseases in Hainan Province
Rare diseases in Hainan Province pose a significant economic burden, with a rising prevalence and limited data available. A study from 2019 to 2023 found that 83.01% of the 4,975 diagnosed patients were insured, yet total economic costs escalated from 34.26 million...
Purchasing primary care services for quality chronic care: Capitation with performance payments in four countries
Published in The International Journal of Health Planning and Management, the open-access short communication “Purchasing Primary Care Services for Quality Chronic Care: Capitation With Performance Payments in Four Countries” examines how provider payment reforms can...
A Chinese conundrum: does higher insurance coverage for hospitalization reduce financial protection for the patients who most need it?
This paper analyzes how cost-sharing impacts the use of outpatient and inpatient health services in China. The study reveals that increased cost-sharing for outpatient services leads to decreased outpatient usage while simultaneously increasing reliance on inpatient...
Catastrophic health expenditure associated with non-inpatient costs among middle-aged and older individuals in China
The primary social health insurance schemes in China, UEMIS and URRMS, mainly cover non-inpatient expenditures, neglecting costs associated with outpatient care and medications. A study found that over 60% of participants used non-inpatient services recently, with...
Analysis of the structure and trend prediction of China’s total health expenditure
The document discusses the increasing health expenditures in China amid rapid economic and social development, population aging, and evolving disease patterns. As health expenditures rise sharply, the study highlights the need to effectively utilize limited medical...
The temporal and spatial interpretation of China’s health financing
This study aims to analyze total health expenditure (THE), government health expenditure, per capita government expenditure by government during 1990 to 2020 in China. In addition, this study also analyzes social health expenditures per THE and the structure of health...
Does integrated medical insurance system alleviate the difficulty of using cross-region health Care for the Migrant Parents in China – Evidence from the China Migrants Dynamic Survey
Research conducted by Chao Ma, Shutong Huo and Hao Chen, utilizing data from the 2015 China Migrants Dynamic Survey, employed Ordinary Least Squares (OLS) regression models to analyze the impact of Integrated Medical Insurance Schemes (IMIS) on migrant parents.Their...
Health technology assessment in China: progress, challenges, and sustainability
Since the introduction of Health technology assessment (HTA) in 1990, it has played an increasingly crucial role in supporting healthcare decision-making in China. This article provides an overview of HTA activities in China. It elaborates the development and current...
Using health technology assessment to inform decision making: an example of cancer immunotherapy
Health technology assessment (HTA) has been used to support healthcare decision making for high technology medicines in China. This article provides China's experience in using HTA to support healthcare decision making on health insurance reimbursement for cancer...
Can provincial-pooling of urban and rural resident basic medical insurance improve the health performance of migrant population?
This study aims to explore the impact of provincial-pooling of basic medical insurance on the health performance of migrant population and analyze the mediating role of social integration. And calls for accelerating the promotion of provincial-pooling of basic medical...
Innovation and practice report illustrates how Georgia and China transitioned from external technical assistance
This study examines the role of external technical assistance in transitioning donor-supported health programs to domestic systems in China and Georgia. It highlights how both countries shifted from external aid to national ownership in financing and policymaking,...
Impact of healthy lifestyle factors on life expectancy and lifetime health care expenditure: Nationwide cohort study
The article "Impact of Healthy Lifestyle Factors on Life Expectancy and Lifetime Health Care Expenditure: Nationwide Cohort Study," authored by Wei-Cheng Lo, Tsuey-Hwa Hu, Cheng-Yu Shih, Hsien-Ho Lin, and Jing-Shiang Hwang, explores the effects of healthy lifestyle...
Catastrophic health expenditure and health-related quality of life among older adults in Shandong, China: the moderation effect of daily care by adult children
This study aims to examine the relationship between catastrophic health expenditure and health-related quality of life in older people, and to explore whether the daily care provided by adult children is a moderator in this relationship in in Shandong Province, China....