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The Rise of Hospital Dominance in China: Distribution of Resources and Activities Between Hospitals and Primary Care Facilities (1949–2018)

In: Business History of Hospitals in the 20th Century

Author

Listed:
  • Jin Xu

    (Peking University)

  • Anne Mills

    (London School of Hygiene & Tropical Medicine)

Abstract

China is often seen as a pioneer in primary care development. However, primary care facilities have struggled to obtain sufficient funding and human resources, while county and higher-level hospitals have attracted the major share of health system resources. This chapter measures and compares the long-term trends of the levels of activities and resources between hospitals and primary care facilities from 1949 to 2018. The hospital centrism in China’s contemporary health system is rooted in a continuous history after 1949 that saw primary care facilities initially growing into a tier of care that provided substantial inpatient and ambulatory services like hospitals, but which was unstable, low-cost and de-professionalized relative to hospitals. This long-term perspective offers important insights that complement contemporary studies on primary care strengthening.

Suggested Citation

  • Jin Xu & Anne Mills, 2024. "The Rise of Hospital Dominance in China: Distribution of Resources and Activities Between Hospitals and Primary Care Facilities (1949–2018)," Frontiers in Economic History, in: Paloma Fernández Pérez (ed.), Business History of Hospitals in the 20th Century, pages 127-145, Springer.
    • Handle: RePEc:spr:frochp:978-3-031-59423-6_10
    DOI: 10.1007/978-3-031-59423-6_10
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