More than 90% of the Chinese population was covered by its three basic social health insurances. However, the Chinese rural-to-urban migrant workers (RUMWs), accounting for about one-fifth of China’s total population, seem to be put on a disadvantaged position under the current health insurance schemes. The purpose of this study is to identify the current barriers and to provide policy suggestions to the ineffective health insurance coverage of RUMWs in China. A systematic review guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The searched databases included PubMed, Embase, Medline, Web of Science, PsycINFO, Maternity and Infant Care Database MIDIRS, the Cochrane Library, WHO Library Database (WHOLIS), WHO Global Health Library, World Bank eLibrary, OpenGrey, CNKI, and Wanfang. In total, 70 articles were reviewed. (1) Chinese RUMWs have high work mobility and low job stability; (2) Barriers faced by RUMWs in obtaining effective health insurance coverage are primarily due to the reluctance of employers to provide insurance for all employees and the disadvantaged position held by RUMWs when negotiating with their employers; (3) Fissures among existing health insurance schemes leaves no room for RUMWs to meet their primary needs; and (4) Recent efforts in improving the portability and transferability of insurance across borders and schemes are not enough to solve the barriers. It is argued that the Chinese central government must deal with the fragmentation of healthcare system in China and promote effective coverage by: (1) playing a more active role in coordinating different healthcare and social welfare schemes across the country, (2) increasing the health insurance portability, (3) making the healthcare policies more compatible with RUMW’s characteristics to meet their primary health needs, (4) strengthening supervision of employers, and (5) providing more vocational training and other support to increase RUMW’s job stability.

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Barriers of effective health insurance coverage for rural-to-urban migrant workers in China: a systematic review and policy gap analysis

Megacities, due to their enormous population concentrations and rapid development dynamics, are gaining more and more importance as junctions of globalisation processes and governance centres in a world increasingly dominated by cities. Megacities are not just large cities. Their scale creates new dynamics, new complexity and new simultaneity of events and processes – physical, social, political and economic. A multitude of drivers, driving forces and actors as well as interacting and partially self-enhancing acceleration and feedback effects is further contribu­ting to the complexity of their development dynamics.

Megacities and Global Change

At first,this article describes some primary information of China from 6 aspects as follws:short presentation of the country;library organisation, structure and statistics ;staff, professional and non-professional ;librarianship training programmes ;library services, activities and programmes ;book production.Then It addresses future developments .Finallly,it gives Any other comments relevant to the theme.

China : a Country Report

The Performance of Agency in Earth System Governance

Agency in a Multiscalar World

The article at hand aims at contributing to a deeper understanding of problems in China’s urban health system governance by comparing levels of influence and the roles of different stakeholder groups – government bodies, public, private and illegal health care providers, patients and their social networks, paying institutions, social organizations, and the civil society – in the production and reproduction of the layout of the health care system in the city of Guangzhou. Primary data was collected in several fieldwork studies in Guangzhou City between December 2006 and January 2009 and includes 27 in-depth interviews with administrative officials, health care providers and NGO representatives as well as 70 in-depth interviews and a quantitative survey with 450 rural-urban migrants. We use the actor-centred institutionalism approach by MaYnTz and scharpF (1995) and scharpF (2000) which we combine with archer’s (1995) morphogenetic approach in order to develop an analysis tool. The findings show that although hierarchical steering by the municipal administrative units in Guangzhou is officially still in place, new corporate agents have emerged, such as influential hospital managers, social organizations and NGOs that, together with the multiple adaption and circumvention strategies of primary agents, patients and health care providers, are significantly reshaping the health system. Considering China’s current debate on the general type of health system that should be put in place we argue that it is necessary to restructure the functions and influences of stakeholders in the health system if any such reforms should be successful in improving public health. The basis for this should be the establishment of an all-embracing health governance framework, which should include independent third-party supervision and monitoring and which requires overall reforms of the general state governance structures as well as a more profound integration of interests and collaboration of all stakeholders.

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Tabea Boric

Papers

Governance challenges in china's urban health care system - the role of stakeholders