People’s Republic of China health system review

People’s Republic of China health system review

The World Health Organization

Health Systems in Transition, Vol. 5 No. 7 2015

Published online: September 2015

Abstract / Resumen:

China has made great achievements in improving health status over the past six decades with a huge population that accounted for about 19% of total world population in 2012. The life expectancy at birth in China has increased from 35 years in 1949 to 75 years in 2012, mainly the result of government commitment to health, provision of cost effective public health programmes, coverage of health financial protection mechanisms, and a basic health care delivery network. China is facing many health challenges amid its demographic and epidemiological transition of rapid economic growth, urbanization and industrialization, population ageing, diseases and risk factors related to lifestyle and environmental pollution. […] Social health insurance schemes, including the rural cooperative medical scheme, urban employee-based health insurance scheme, and urban resident-based health insurance schemes, have reached universal population coverage. These are run by government subsidies and individual contributions and cover both outpatient and inpatient care. Governments provide subsidies for covering essential public health programmes. Access to health care has increased rapidly with the expanded coverage of financial protection mechanisms. Over the past decade, out-of-pocket payments as a proportion of total health expenditures have declined dramatically…

Keywords / Palabras clave:

Health Care Reform; Health System Plans; 4. China. I. Asia Pacific Observatory on Health Systems and Policies.

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The full text is freelay available here:

‘The management of severe mental patients is one of the essential public health services in China. All diagnosed severe mental health patients who live at home can access information, diagnosis, relevant treatment, and follow-up assessment free of charge from local township hospitals, village clinics and community health centres (or stations).’

‘At the beginning of 1985, China stopped using the term “barefoot doctor”, and started to develop village doctors. By the end of 2012, China had 1.02 million village doctors (Ministry of Health, 2013a).’

‘A GP should first attend five-year undergraduate education in clinical medicine (including traditional Chinese medicine), after which they will receive three-year standardized GP training. GP training and use in China are still in their infancy and there is a severe shortage.’

‘Because of the differences in language and medical education systems, the migration of Chinese health-care professionals to foreign countries is not a significant phenomenon.’

‘China has established a health education system in which the key players are professional health education institutions, PHC and related health institutions, schools, enterprises and government departments. The National Health Education Centre is responsible for providing technical guidance on health education activities and carrying out health education-related research.’

Best wishes, Neil

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