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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

# 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
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