Linghan Shan

TL;DR: The qualitative analysis showed that patient trust—the most significant predictor of patient satisfaction— is shaped by perceived high quality of service delivery, empathic and caring interpersonal interactions, and a better designed medical insurance that provides stronger financial protection and enables more equitable access to health care.

TL;DR: Health insurance managers/administrators in China are pessimistic about the achievements of the current health insurance system, and are concerned about the overall lack of benefit that insurance programmes bring to members, including low levels of entitlements, large healthcare inequity, limited financial protection and poor portability.

TL;DR: High level of dissatisfaction was found to be associated with ineffective outcomes of the integration reforms in achieving management system improvement and inequity reduction, as perceived by the respondents.

TL;DR: The original poverty-promoting policies has not reached the maximum point of convergence with China’s current demand for health, so special health needs, age, and household capacity to pay should be comprehensively considered while strengthening the connection between the disease insurance scheme with supplementary insurance.

TL;DR: The progress made in the integrated URRBMI on CHE equity deserves recognition, even though it did not reduce the overall CHE or the impoverishment rate effectively, and more targeted solutions should be considered, such as promoting more precise insurance intervention for the most vulnerable population.