Multi-source financing for tuberculosis treatment in China: key issues and challenges

作     者：Qian Long Wei-Xi Jiang Hui Zhang Jun Cheng Sheng-LanTang Wei-Bing Wang Long Qian;Jiang Wei-Xi;Zhang Hui;Cheng Jun;Tang Sheng-Lan;Wang Wei-Bing

作者机构：Global Health Research CenterDuke Kunshan UniversityJiangsuChina National Center for Tuberculosis Control and PreventionChina CDCBeijingChina Duke Global Health InstituteDuke UniversityDurhamNCUSA. Department of EpidemiologySchool of Public Health&Key Laboratory of Public Health Safety(Ministry of Education)Fudan University138 Vi Xue Yuan RoadShanghai 200032China. 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2021年第10卷第2期

页      面：44-49页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：supported by the Bill and Melinda Gates Foundation[Grant No.OPP1137180] 

主　　题：Tuberculosis Medical cost Financial protection Universal health coverage Multi-sector engagement China 

摘      要：Background:The End Tuberculosis(TB)Strategy of the World Health Organization highlights the need for patientcentered care and social protection measures that alleviate the financial hardships faced by many TB *** China,TB treatments are paid for by earmarked government funds,social health insurance,medical assistance for the poor,and out-of-pocket payments from *** part of Phase III of the China-Gates TB project,this paper introduces multi-source financing ofTB treatment in the three provinces of China and analyzes the challenges of moving towards universal coverage and its implications of multi-sectoral engagement for TB *** text:The new financing policies forTB treatment in the three provinces include increased reimbursement forTB outpatient care,linkage ofTB treatment with local poverty alleviation programs,and use of local government funds to cover some costs to reduce out-of-pocket ***,there are several challenges in reducing the financial burdens faced byTB ***,medical costs must be contained by reducing the profit-maximizing behaviors of ***,treatment forTB and multi-drug resistant TB(MDR-TB)is only available at county hospitals and city or provincial hospitals,respectively,and these hospitals have low reimbursement rates and high ***,many patients with TB and MDR-TB are at the edge of poverty,and therefore ineligible for medical assistance,which targets extremely poor *** addition,the local governments of less developed provinces often face fiscal difficulties,making it challenging to use of local government funds to provide financial support for TB *** suggest that stakeholders at multiple sectors should engage in transparent and responsive communications,coordinate policy developments,and integrate resources to improve the integration of social protection ***:The Chinese government is examining the establishment of multi-source financing forTB treatm