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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Bibliographic Details
Published in:Health Affairs Vol. 27; no. 4; pp. 937 - 948
Main Authors: Ma, Jin, Lu, Mingshan, Quan, Hude
Format: Journal Article
Language:English
Published: United States Health Affairs 01.07.2008
The People to People Health Foundation, Inc., Project HOPE
Subjects:
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
China
ISSN:0278-2715, 2694-233X, 1544-5208, 2694-233X
Online Access:Get full text
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Description
Summary: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