Ekonomska dimenzija zdravstvenih sistema u Indiji i Kini

Abstract

The main objective of this work is the understanding of the health system structure of two major world powers China and India, the members of the BRIKS states, as their economies in recent decades represent the paradigm of rapid development. The research is primarily focused on the similarities and differences that characterize the two health systems, and treats the problems they are confronting and the environment in which they are operating. If they are observed together, the economies of India and China act as powerful engine which pulls forward the world's economy. This paper is only a modest attempt to determinate the uniform mantra by using the available conceived material according to which the two very different health care systems in the future could effectively operate. Among the present academic authorities there is no consensus that in the near future these two systems will be developing in the same direction, with the same dynamics and success. However, this possibility should not be neglected. The paper will be composed in a way to explain a paradox that, despite the full economic momentum of India and China, their health systems are having increasingly difficulties to cope with financial issues, inaccessible and poor quality health care, the continual growth of health care spending, growing needs of the population and dissatisfied health care workers, especially these working in the rural areas. India and China are both struggling for decades with frustrated doctors, because they could not, and do not want, to accept so much differences between the rich poor and urban rural counterparts. Health care workers (especially doctors) have started to ignore the work in rural health facilities, or to modify it for the better paid jobs in traffic, services, agriculture or construction.