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

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  • 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
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    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.
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    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.
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