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Table 4 Ten obstacles in implementing RCMS (2000) and NRCMS (2008)

From: An evaluation of China’s new rural cooperative medical system: achievements and inadequacies from policy goals

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Obstacles to implementation

Constituent ratio (%)

Rank order

2000

2008

2000

2008

1

Insufficient government attention; inadequate policy authority

24.1

15.1

1

2

2

Responsibilities not clear between relevant departments

6.9

7.8

8

8

3

Multiple technical difficulties in policy implementation

8.2

16.2

6

1

4

Township and village finance inadequate to fund (N)RCMS

11.0

9.5

2

6

5

Policy not obligatory; implementation at discretion of local officials

8.0

9.7

7

5

6

Support for (N)RCMS varies among local government, healthcare organizations, village doctors, and rural residents

6.1

7.8

9

7

7

Lack of coordination between government departments to achieve policy goals

5.8

2.8

10

10

8

Needed funding level not clear

10.4

13.5

3

3

9

Rural residents lack confidence in (N)RCMS

10.4

6.0

3

9

10

(N)RCMS does not target most urgent demands of rural residents

9.1

11.6

5

4

Total

 

100.0

100.0