From A National, Centrally Planned Health System To A System Based On The Market: Lessons From China

No other country has undergone health care reforms as dramatic as China's. Starting in 1978, China reformed its health system from a governmental, centrally planned, and universal system to a heavily market-based one. Now, three decades later, the Chinese government openly acknowledges that the...

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Vydáno v:Health Affairs Ročník 27; číslo 4; s. 937 - 948
Hlavní autoři: Ma, Jin, Lu, Mingshan, Quan, Hude
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Health Affairs 01.07.2008
The People to People Health Foundation, Inc., Project HOPE
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ISSN:0278-2715, 2694-233X, 1544-5208, 2694-233X
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Shrnutí:No other country has undergone health care reforms as dramatic as China's. Starting in 1978, China reformed its health system from a governmental, centrally planned, and universal system to a heavily market-based one. Now, three decades later, the Chinese government openly acknowledges that the reforms failed and seeks new directions. This paper adds to the literature by examining China's health care from a system perspective, describing its health services delivery, access, outcomes, and population health in the post-reform era. It also identifies the main issues in the current system and highlights the key lessons learned from China's reform process.
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ISSN:0278-2715
2694-233X
1544-5208
2694-233X
DOI:10.1377/hlthaff.27.4.937