Population ageing and sustainability of healthcare financing in China
Open accessAbstract
Background: In China, the healthcare financing structure involves multiple parties, including the government, society and individuals. Medicare Fund is an important way for the Government and society to reduce the burden of individual medical costs. However, with the aging of the population, the demand of Medicare Fund is increasing. Therefore, it is necessary to explore the sustainability of the healthcare financing structure in the context of population ageing. Objective: The purpose of this paper is to organize the characteristics of population ageing as well as healthcare financing in China. On this basis, it analyzes the impact mechanism of population ageing on healthcare financing and the sustainability of existing healthcare financing. Methods: This paper mainly adopts the method of literature research and inductive summarization. Extracting data from Health Statistics Yearbook of China and Labor and Social Security Statistics Yearbook of China. Collected about 60 pieces of relevant literature at home and abroad. Results: China has already entered a deeply ageing society. Unlike developed countries in the world, China's population ageing has distinctive feature of ageing before being rich. A healthcare financing scheme established by China, composing of the government, society, and individuals, is reasonable. However, under the pressure of population ageing, China's current healthcare financing scheme will face enormous challenges. Scholars are generally pessimistic about the sustainability of China's healthcare financing scheme. Conclusions: Population ageing will increase the expenditure and reduce the income of the Medicare Fund. This will further affect the sustainability of the healthcare financing structure. As a consequence, the state should pay particular attention to this issue and take action to ensure that the Fund continues to operate steadily.
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With China's rapidly ageing population, the sustainability of its national basic medical insurance fund is becoming increasingly challenging.
“with China's rapidly ageing population, the sustainability of its national basic medical insurance fund is becoming increasingly challenging.”
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- Authors
- Wu, W., Long, S., Cerda, A. A., Garcia, L. Y., & Jakovljevic, M.
- Affiliations
- Tianjin University (CN)
- Universidad de Talca (CL)
- Venue
- Cost Effectiveness and Resource Allocation
- Published
- 2023-12-19
- Volume
- 21
- Issue
- 1
- Pages
- 97-97
- ISSN
- 1478-7547 (ISSN-L)
- PMC
- PMC10729482
- OpenAlex
- W4389980784
- Cited by
- 42
- References
- 57
- Citations by year
- 2026: 7 · 2025: 27 · 2024: 8
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Cost Effectiveness and Resource Allocation (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Finance › Healthcare Systems and Reforms
- Health Sciences › Health Professions › General Health Professions › Global Health Care Issues
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Practices
- Keywords
- population aging, health care financing, China, health care costs, public health expenditure, social health insurance
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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