User:Dandelion1984/Healthcare in China

Article Draft

Lead: Gender and health care in China

Gender Affirming Care

Although research on health care and gender in China often employs languages that are strictly gendered, access to gender affirming care in China remains an important issue to be examined. There is currently no national survey on the amount of individuals seeking gender affirming care. It is estimated that there are around 400,000 individuals seeking gender-affirming surgery in China in 2017. It is difficult for transgender and gender non conforming individuals to access gender affirming care in China. and this has an adverse affect on both their physical well-being and mental health. There are minimal resources found with accessing gender affirming care (such as hormonal therapy or gender-affirming surgery) in China and high rates of suicide ideation and self-harm tendency are found in the transgender and gender non-conforming population. Transgender and gender non-conforming individuals in China have a high prevalence of depression, anxiety, and stress-related disorders.

PLAN FOR CLEAN UP

I see a lot of grammatical issues with the existing article and I am working to get them fixed.

Edited: Hospital refuses regular national Medicare patients[edit]

At the end of 2013, as the use of medical insurance funds was approaching the bottom line of excess, in many provinces and cities across the country, only self-paying patients did not receive medical insurance patients.

In 2010, to prevent the loss of medical insurance funds caused by fraudulent insurance and large high-priced prescriptions, Jinan City began to assess the total hospital expenses and number of outpatient visits, and the medical insurance pooling fund for overspending will not be paid. Hospitals began to put pressure on doctors to by deducting the income of departments and doctors if they exceeded the limit. Therefore, this practice leads led to the department rejecting medical insurance patients as soon as the quota is full. The hospital is most willing to accept patients such as self-funded patients, public-funded medical patients, and medical insurance patients who receive health care from in monopoly industries such as finance and electricity. The average age of their employees is low, the rate of medical treatment is low, and the ability to pay funds is strong, and they are unwilling to accept local ordinary medical insurance patients. The average age of employees in these industries are low, and so are the rates for their medical treatment. However, they are more capable of paying for their medical costs because of their insurance coverage through employment. As a result, hospitals were less willing to accept local patients who receive regular medical insurance. According to reports, In 2016, the Second Xiangya Hospital of Central South University in Hunan, Kunming Children's Hospital, and the 82nd Army Hospital of the Chinese People's Liberation Army in Baoding 2019 also refused to accept medical insurance patients who received medicare.

In 2020, the Hebei Provincial Medical Security Bureau issued the "Notice on Preventing Medical Insurance Designated Medical Institutions to Prevaricate and Refuse to Accept Insured Persons", requiring medical security departments at all levels to conscientiously do a good job in ensuring the enjoyment of medical security benefits for insured persons during the end of the year, and resolutely put an end to prevarication and refusal The behavior of insured persons. of patients who received medicare.

References

Zhu, Xuequan, et al. "Health care and mental wellbeing in the transgender and gender-diverse Chinese population." The Lancet Diabetes & Endocrinology 7.5 (2019): 339-341.

Lin Y, Xie H, Huang Z, Zhang Q, Wilson A, Hou J, Zhao X, Wang Y, Pan B, Liu Y, Han M, Chen R. The mental health of transgender and gender non-conforming people in China: a systematic review. Lancet Public Health. 2021 Dec;6(12):e954-e969. doi: 10.1016/S2468-2667(21)00236-X. PMID: 34838199.