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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| Published in: | Health Affairs Vol. 27; no. 4; pp. 937 - 948 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
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 |
| Online Access: | Get full text |
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| Abstract | 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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| AbstractList | 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. [PUBLICATION ABSTRACT] 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.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. 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. Adapted from the source document. 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. |
| Author | Ma, Jin Quan, Hude Lu, Mingshan |
| Author_xml | – sequence: 1 fullname: Ma, Jin – sequence: 2 fullname: Lu, Mingshan – sequence: 3 fullname: Quan, Hude |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18607026$$D View this record in MEDLINE/PubMed |
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| Copyright | Copyright The People to People Health Foundation, Inc., Project HOPE Jul/Aug 2008 |
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| SubjectTerms | Agricultural production China China (People's Republic) Clinical outcomes Cost control Delivery of Health Care - history Delivery of Health Care - organization & administration Delivery of Health Care - trends Economic reform Employees Health care Health care access Health care delivery Health care policy Health Care Reform - economics Health Care Reform - history Health Care Reform - trends Health Care Sector - history Health Care Sector - organization & administration Health Care Sector - trends Health Expenditures - trends Health insurance Health policy Health services Health Services Accessibility - trends Health status History, 20th Century History, 21st Century Hospitals Humans Insurance Coverage - trends Insurance, Health - economics Insurance, Health - history Insurance, Health - trends Markets Medical equipment Physicians Preventive medicine Privatization - economics Privatization - history Privatization - trends Profits Public health Quality of Health Care Reforms Research centers Rural areas Traditional Chinese medicine |
| Title | From A National, Centrally Planned Health System To A System Based On The Market: Lessons From China |
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