IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v99y2011i1p37-43.html
   My bibliography  Save this article

An evaluation of the policy on community health organizations in China: Will the priority of new healthcare reform in China be a success?

Author

Listed:
  • Wang, Hufeng
  • Gusmano, Michael K.
  • Cao, Qi

Abstract

Objectives The objective of this paper is to assess historical and recent health reform efforts in China. We provide a brief history of the Chinese healthcare system since 1949 as context for the current healthcare; examine the factors that led to recent efforts to reestablish community-based care in China; and identify the challenges associated with attaining a sustainable and quality community healthcare system.Methods Based on literature review and publicly available data in China, the paper will present a historical case study analysis of health policy change of CHOs in China and provide policy evaluation, and the paper provided policy suggestions.Results We find that the government's recent efforts to emphasize the significance of community healthcare services in China have started to change patterns of healthcare use, but many problems still inhibit the development of CHOs, including unsustainable governmental roles, issues of human resource inadequacy and laggard GP practice, poorly designed payment schemes, patient's trust crisis and continue to inhibit the development of community-based primary care.Conclusions Additional policy efforts to help CHOs' development are needed. Recent government investments in public health and primary care alone are not sufficient and could not be sustainable. It will not until long-term self-sustaining mechanisms to relieve an omnipotent government are established, including competent community doctors (GP) system, supportive social insurance reimbursement, appropriate financial incentives to providers, better transparency and accountability, as well as a more regulated referral system, a legitimate, sustainable and quality community health system could be attained.

Suggested Citation

  • Wang, Hufeng & Gusmano, Michael K. & Cao, Qi, 2011. "An evaluation of the policy on community health organizations in China: Will the priority of new healthcare reform in China be a success?," Health Policy, Elsevier, vol. 99(1), pages 37-43, January.
    • Handle: RePEc:eee:hepoli:v:99:y:2011:i:1:p:37-43
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168-8510(10)00197-1
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Smith, Richard D., 2006. "Responding to global infectious disease outbreaks: Lessons from SARS on the role of risk perception, communication and management," Social Science & Medicine, Elsevier, vol. 63(12), pages 3113-3123, December.
    2. Karen Eggleston & Winnie Yip, 2004. "Hospital Competition under Regulated Prices: Application to Urban Health Sector Reforms in China," International Journal of Health Economics and Management, Springer, vol. 4(4), pages 343-368, December.
    3. Starfield, B., 1996. "Public health and primary care: a framework for proposed linkages," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1365-1369.
    4. Shi, L. & Macinko, J. & Starfield, B. & Politzer, R. & Wulu, J. & Xu, J., 2005. "Primary care, social inequalities, and all-cause, heart disease, and cancer mortality in US counties, 1990," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 674-680.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Zhang, Anwen & Nikoloski, Zlatko & Mossialos, Elias, 2017. "Does health insurance reduce out-of-pocket expenditure? Heterogeneity among China's middle-aged and elderly," Social Science & Medicine, Elsevier, vol. 190(C), pages 11-19.
    2. Jia, Peng & Wang, Youfa & Yang, Min & Wang, Limin & Yang, Xuchao & Shi, Xinyu & Yang, Lijian & Wen, Jin & Liu, Yi & Yang, Maokang & Xin, Junguo & Zhang, Fengying & Jiang, Lihua & Chi, Chunhua & Zhang,, 2022. "Inequalities of spatial primary healthcare accessibility in China," Social Science & Medicine, Elsevier, vol. 314(C).
    3. Yiran Cui & Hui Shen & Fang Wang & Haoyu Wen & Zixin Zeng & Yafeng Wang & Chuanhua Yu, 2020. "A Long-Term Trend Study of Tuberculosis Incidence in China, India and United States 1992–2017: A Joinpoint and Age–Period–Cohort Analysis," IJERPH, MDPI, vol. 17(9), pages 1-19, May.
    4. Jiazhi Zeng & Leiyu Shi & Xia Zou & Wen Chen & Li Ling, 2015. "Rural-to-Urban Migrants' Experiences with Primary Care under Different Types of Medical Institutions in Guangzhou, China," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-21, October.
    5. Yi Liu & Wei Yang, 2019. "Leadership and Governance Tools for Village Sustainable Development in China," Sustainability, MDPI, vol. 11(20), pages 1-17, October.
    6. Lu Chen & Miaoting Cheng, 2022. "Exploring Chinese Elderly’s Trust in the Healthcare System: Empirical Evidence from a Population-Based Survey in China," IJERPH, MDPI, vol. 19(24), pages 1-16, December.
    7. Marianna Mauro & Monica Giancotti & Giovanna Talarico, 2017. "Mapping the field: A bibliometric analysis of accountability literature in healthcare," MECOSAN, FrancoAngeli Editore, vol. 2017(101), pages 7-30.
    8. Alessandra Faggian & Jonathan Corcoran & Francisco Rowe, 2016. "Evaluating the effects of Australian policy changes on human capital: the role of a graduate visa scheme," Environment and Planning C, , vol. 34(1), pages 151-170, February.
    9. Ling Li & Hongqiao Fu, 2017. "China's health care system reform: Progress and prospects," International Journal of Health Planning and Management, Wiley Blackwell, vol. 32(3), pages 240-253, July.
    10. Xiaxia Sun & Hongdao Meng & Zhiqiu Ye & Kyaien O Conner & Zhanqi Duan & Danping Liu, 2019. "Factors associated with the choice of primary care facilities for initial treatment among rural and urban residents in Southwestern China," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    11. Ziyue Huang & Qingyue Liu & Hongdao Meng & Danping Liu & Debra Dobbs & Kathryn Hyer & Kyaien O Conner, 2018. "Factors associated with willingness to enter long-term care facilities among older adults in Chengdu, China," PLOS ONE, Public Library of Science, vol. 13(8), pages 1-13, August.
    12. Min Su & Zhongliang Zhou & Yafei Si & Sean Sylvia & Gang Chen & Yanfang Su & Scott Rozelle & Xiaolin Wei, 2021. "Comparing the Quality of Primary Care between Public and Private Providers in Urban China: A Standardized Patient Study," IJERPH, MDPI, vol. 18(10), pages 1-16, May.
    13. Lu, Liyong & Pan, Jay, 2019. "The association of hospital competition with inpatient costs of stroke: Evidence from China," Social Science & Medicine, Elsevier, vol. 230(C), pages 234-245.
    14. Jiang, Shan & Gu, Yuanyuan & Yang, Fan & Wu, Tao & Wang, Hui & Cutler, Henry & Zhang, Lufa, 2020. "Tertiary hospitals or community clinics? An enquiry into the factors affecting patients' choice for healthcare facilities in urban China," China Economic Review, Elsevier, vol. 63(C).
    15. Xueqian Song & Yongping Wei & Wei Deng & Shaoyao Zhang & Peng Zhou & Ying Liu & Jiangjun Wan, 2019. "Spatio-Temporal Distribution, Spillover Effects and Influences of China’s Two Levels of Public Healthcare Resources," IJERPH, MDPI, vol. 16(4), pages 1-18, February.
    16. Haoyu Wen & Cong Xie & Lu Wang & Fang Wang & Yafeng Wang & Xiaoxue Liu & Chuanhua Yu, 2019. "Difference in Long-Term Trends in COPD Mortality between China and the U.S., 1992–2017: An Age–Period–Cohort Analysis," IJERPH, MDPI, vol. 16(9), pages 1-15, April.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Currie, Janet & Lin, Wanchuan & Zhang, Wei, 2011. "Patient knowledge and antibiotic abuse: Evidence from an audit study in China," Journal of Health Economics, Elsevier, vol. 30(5), pages 933-949.
    2. Miller, Charlotte E. & Vasan, Ramachandran S., 2021. "The southern rural health and mortality penalty: A review of regional health inequities in the United States," Social Science & Medicine, Elsevier, vol. 268(C).
    3. Talwar, Manish & Talwar, Shalini & Kaur, Puneet & Tripathy, Naliniprava & Dhir, Amandeep, 2021. "Has financial attitude impacted the trading activity of retail investors during the COVID-19 pandemic?," Journal of Retailing and Consumer Services, Elsevier, vol. 58(C).
    4. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    5. Costa-Font, Montserrat & Asquini, Martina, 2023. "The impact of perceived COVID-19 risks, food waste generation and food purchase control on the food security status during the pandemic," 97th Annual Conference, March 27-29, 2023, Warwick University, Coventry, UK 334511, Agricultural Economics Society - AES.
    6. Arielle Kaim & Eli Jaffe & Maya Siman-Tov & Ella Khairish & Bruria Adini, 2020. "Impact of a Brief Educational Intervention on Knowledge, Perceived Knowledge, Perceived Safety, and Resilience of the Public During COVID-19 Crisis," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    7. Christos Nicolaides & Demetris Avraam & Luis Cueto‐Felgueroso & Marta C. González & Ruben Juanes, 2020. "Hand‐Hygiene Mitigation Strategies Against Global Disease Spreading through the Air Transportation Network," Risk Analysis, John Wiley & Sons, vol. 40(4), pages 723-740, April.
    8. Gian Maria Campedelli & Alberto Aziani & Serena Favarin, 2020. "Exploring the Effects of COVID-19 Containment Policies on Crime: An Empirical Analysis of the Short-term Aftermath in Los Angeles," Papers 2003.11021, arXiv.org, revised Oct 2020.
    9. Anirudh Shingal & Prachi Agarwal, 2020. "How did trade in GVC-based products respond to previous health shocks? Lessons for COVID-19," RSCAS Working Papers 2020/68, European University Institute.
    10. Sharon, Teitler Regev & Shahrabani, Shosh, 2021. "Health precautions while traveling after COVID-19," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 7, pages 68-73.
    11. Tabea Bork-HÜffer & Frauke Kraas, 2015. "Health Care Disparities in Megaurban China: The Ambivalent Role of Unregistered Practitioners," Tijdschrift voor Economische en Sociale Geografie, Royal Dutch Geographical Society KNAG, vol. 106(3), pages 339-352, July.
    12. Malinda & Maya & Jo-Hui & Chen, 2022. "Testing for the Long Memory and Multiple Structural Breaks in Consumer ETFs," Journal of Applied Finance & Banking, SCIENPRESS Ltd, vol. 12(6), pages 1-6.
    13. Keogh-Brown, Marcus Richard & Smith, Richard David, 2008. "The economic impact of SARS: How does the reality match the predictions?," Health Policy, Elsevier, vol. 88(1), pages 110-120, October.
    14. Zhifei He & Zhaohui Cheng & Hang Fu & Shangfeng Tang & Qian Fu & Haiqing Fang & Yue Xian & Hui Ming & Zhanchun Feng, 2015. "Factors Associated with the Competencies of Public Health Workers in Township Hospitals: A Cross-Sectional Survey in Chongqing Municipality, China," IJERPH, MDPI, vol. 12(11), pages 1-16, November.
    15. Huan Wang & Sarah‐Eve Dill & Huan Zhou & Yue Ma & Hao Xue & Sean Sylvia & Kumi Smith & Matthew Boswell & Alexis Medina & Prashant Loyalka & Cody Abby & Dimitris Friesen & Nathan Rose & Yian Guo & Scot, 2021. "Health, economic, and social implications of COVID‐19 for China's rural population," Agricultural Economics, International Association of Agricultural Economists, vol. 52(3), pages 495-504, May.
    16. Currie, Janet & Lin, Wanchuan & Meng, Juanjuan, 2013. "Social networks and externalities from gift exchange: Evidence from a field experiment," Journal of Public Economics, Elsevier, vol. 107(C), pages 19-30.
    17. Jia CUI & Shaomin HUANG & Gerald RAMEY, 2009. "China’s Healthcare Reform And Resources Redistribution: Lessons For Emerging Nations," Review of Economic and Business Studies, Alexandru Ioan Cuza University, Faculty of Economics and Business Administration, issue 4, pages 27-42, November.
    18. Liyong Lu & Jay Pan, 2021. "Does hospital competition lead to medical equipment expansion? Evidence on the medical arms race," Health Care Management Science, Springer, vol. 24(3), pages 582-596, September.
    19. Xue-Jing Liu & Gustavo S. Mesch, 2020. "The Adoption of Preventive Behaviors during the COVID-19 Pandemic in China and Israel," IJERPH, MDPI, vol. 17(19), pages 1-18, September.
    20. Sofia Pappa & Joshua Barnett & Ines Berges & Nikolaos Sakkas, 2021. "Tired, Worried and Burned Out, but Still Resilient: A Cross-Sectional Study of Mental Health Workers in the UK during the COVID-19 Pandemic," IJERPH, MDPI, vol. 18(9), pages 1-14, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:99:y:2011:i:1:p:37-43. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.