Healthy China : Deepening Health Reform in China

The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers hi...

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Main Authors: World Bank, World Health Organization
Format: Book
Language:English
Published: Washington, DC: World Bank 2019
Subjects:
Online Access:http://hdl.handle.net/10986/31458
id okr-10986-31458
recordtype oai_dc
spelling okr-10986-314582021-04-23T14:05:03Z Healthy China : Deepening Health Reform in China World Bank World Health Organization HEALTHY CHINA HEALTH REFORM VALUE-BASED HEALTH INTEGRATED CARE HEALTH SERVICE DELIVERY HEALTHCARE HOSPITAL REFORM HEALTH FINANCING QUALITY OF CARE PROVIDER PAYMENT The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis. 2019-03-28T19:19:13Z 2019-03-28T19:19:13Z 2019-03-28 Book 978-1-4648-1263-7 http://hdl.handle.net/10986/31458 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank and World Health Organization Washington, DC: World Bank Publications & Research Publications & Research :: Publication East Asia and Pacific China
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic HEALTHY CHINA
HEALTH REFORM
VALUE-BASED
HEALTH
INTEGRATED CARE
HEALTH SERVICE DELIVERY
HEALTHCARE
HOSPITAL REFORM
HEALTH FINANCING
QUALITY OF CARE
PROVIDER PAYMENT
spellingShingle HEALTHY CHINA
HEALTH REFORM
VALUE-BASED
HEALTH
INTEGRATED CARE
HEALTH SERVICE DELIVERY
HEALTHCARE
HOSPITAL REFORM
HEALTH FINANCING
QUALITY OF CARE
PROVIDER PAYMENT
World Bank
World Health Organization
Healthy China : Deepening Health Reform in China
geographic_facet East Asia and Pacific
China
description The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis.
format Book
author World Bank
World Health Organization
author_facet World Bank
World Health Organization
author_sort World Bank
title Healthy China : Deepening Health Reform in China
title_short Healthy China : Deepening Health Reform in China
title_full Healthy China : Deepening Health Reform in China
title_fullStr Healthy China : Deepening Health Reform in China
title_full_unstemmed Healthy China : Deepening Health Reform in China
title_sort healthy china : deepening health reform in china
publisher Washington, DC: World Bank
publishDate 2019
url http://hdl.handle.net/10986/31458
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