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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Veröffentlicht in:	Health Affairs Jg. 27; H. 4; S. 937 - 948
Hauptverfasser:	Ma, Jin, Lu, Mingshan, Quan, Hude
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States Health Affairs 01.07.2008 The People to People Health Foundation, Inc., Project HOPE
Schlagworte:	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-Zugang:	Volltext
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Beschreibung
Zusammenfassung:	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.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	0278-2715 2694-233X 1544-5208 2694-233X
DOI:	10.1377/hlthaff.27.4.937