Chinese-Style Decentralization and Health System Reform

April 2012 marked the end of the three years China set for implementation of the first phase of its health system reform (HSR), and several recent reports assessed progress in this massive undertaking. Two of them identify impressive achievements in health insurance coverage, infrastructure developm...

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Main Authors:	Hipgrave, David, Guo, Sufang, Mu, Yan, Guo, Yan, Yan, Fei
Format:	Journal Article
Language:	en_US
Published:	Public Library of Science 2015
Subjects:	health systems reforms health insurance access to health care health equity
Online Access:	http://hdl.handle.net/10986/23208

id	okr-10986-23208
recordtype	oai_dc
spelling	okr-10986-232082021-04-23T14:04:13Z Chinese-Style Decentralization and Health System Reform Hipgrave, David Guo, Sufang Mu, Yan Guo, Yan Yan, Fei health systems reforms health insurance access to health care health equity April 2012 marked the end of the three years China set for implementation of the first phase of its health system reform (HSR), and several recent reports assessed progress in this massive undertaking. Two of them identify impressive achievements in health insurance coverage, infrastructure development, and uptake of services, but all three reports draw attention to slow progress in several areas: quality of services at the community level, persisting financial risk for individuals, and the almost complete lack of independent tracking of progress in health outcomes. The reports also recommend an increased focus on burgeoning rates of non-communicable diseases. Government-commissioned external reviews also highlighted these and other issues, underscoring related high-level awareness. However, none of the reports attempted to place China's HSR in the context of the nation's evolving political economy, or to predict its influence on achievement of the major HSR objective—equitable and affordable access to quality health services. 2015-12-03T22:13:03Z 2015-12-03T22:13:03Z 2012-11-06 Journal Article PLoS Medicine http://hdl.handle.net/10986/23208 en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Public Library of Science Publications & Research :: Journal Article Publications & Research China
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	en_US
topic	health systems reforms health insurance access to health care health equity
spellingShingle	health systems reforms health insurance access to health care health equity Hipgrave, David Guo, Sufang Mu, Yan Guo, Yan Yan, Fei Chinese-Style Decentralization and Health System Reform
geographic_facet	China
description	April 2012 marked the end of the three years China set for implementation of the first phase of its health system reform (HSR), and several recent reports assessed progress in this massive undertaking. Two of them identify impressive achievements in health insurance coverage, infrastructure development, and uptake of services, but all three reports draw attention to slow progress in several areas: quality of services at the community level, persisting financial risk for individuals, and the almost complete lack of independent tracking of progress in health outcomes. The reports also recommend an increased focus on burgeoning rates of non-communicable diseases. Government-commissioned external reviews also highlighted these and other issues, underscoring related high-level awareness. However, none of the reports attempted to place China's HSR in the context of the nation's evolving political economy, or to predict its influence on achievement of the major HSR objective—equitable and affordable access to quality health services.
format	Journal Article
author	Hipgrave, David Guo, Sufang Mu, Yan Guo, Yan Yan, Fei
author_facet	Hipgrave, David Guo, Sufang Mu, Yan Guo, Yan Yan, Fei
author_sort	Hipgrave, David
title	Chinese-Style Decentralization and Health System Reform
title_short	Chinese-Style Decentralization and Health System Reform
title_full	Chinese-Style Decentralization and Health System Reform
title_fullStr	Chinese-Style Decentralization and Health System Reform
title_full_unstemmed	Chinese-Style Decentralization and Health System Reform
title_sort	chinese-style decentralization and health system reform
publisher	Public Library of Science
publishDate	2015
url	http://hdl.handle.net/10986/23208
_version_	1764453205442297856

Chinese-Style Decentralization and Health System Reform

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