National Basic Public Health Services Programme In China Case Study
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National Basic Public Health Services Programme in China: case study by Qian LONG,Yufei JIA,Jiuling LI,Zhexun LOU,Yunguo LIU Pdf
This report was developed to inform the WHO Technical Product, purchasing instruments to strengthen quality health services for chronic illnesses (WHO-OECD joint publication). The Government of the People’s Republic of China established and funded the National Basic Public Health Services Programme in 2009 to ensure equal access to basic public health services. The scope of the package increased from 9 categories in 2009 to 14 categories in 2017, and includes hypertension, type 2 diabetes, severe mental disorders and tuberculosis. This study aims to explore the impact of purchasing arrangements for the National Basic Public Health Services Programme on the quality of care for chronic illnesses and analyse the factors that facilitate or inhibit its impact.
Introduction to Public Health in China by Liming Li,Qingwu Jiang Pdf
This book introduces China’s public health work in detail, including its scope and characteristics, its history and evolution, its achievements and experience, the guiding principles for health development, health service system, public health education as well as science and technology of public health. In this book, opportunities and challenges of China’s public health are also presented, along with the prospects of future development. Over the sixty years, China has made remarkable achievements in the areas such as the national immunization program, maternal and child health, disease surveillance, the establishment of a public health information system and its application, as well as the improvement of people’s health, with tremendous experience and best practices being accumulated. In the new era, China starts a new journey towards building Healthy China, which is of great significance for the country’s public health development. The international community will have a better understanding of the history and current situation of China’s public health, as well as its achievements and contributions made to date, from reading this book.
Author : The World Bank;World Health Organization Publisher : World Bank Publications Page : 410 pages File Size : 45,5 Mb Release : 2019-04-04 Category : Medical ISBN : 9781464813238
Healthy China: Deepening Health Reform in China by The World Bank;World Health Organization Pdf
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.
Tutorial for Outline of the Healthy China 2030 Plan by Bin Li Pdf
“Healthy China 2030” is a national strategy for improving the health of the population and coordinating health and socio-economic development, and a major means for the country to participate in global health governance and meet targets set in the 2030 Agenda for Sustainable Development. This outline of the plan will be a blueprint and an action plan for facilitating the development of Healthy China. This tutorial book is a guide for “Outline of the Healthy China 2030 Plan” released on October 25, 2016. This book is organized by 29 chapters. It uses data, background description and figures to facilitate readers to know the plan. The book Editor-in-Chief Bin Li is the Former Minister of National Health Commission of PRC, and is the Vice Chairman of the National Committee of the Chinese People's Political Consultative Conference. The book Associate Editor-in-Chief Xiaowei Ma is the Minister of National Health Commission of PRC.
Purchasing for Quality Chronic Care Summary Report by OECD,World Health Organization Pdf
The publication builds on the existing body of empirical evidence and newly commissioned case studies from Australia, Canada, Chile, China, Germany, Indonesia, South Africa, and Spain to better understand the design of different purchasing arrangements that aim to promote quality for chronic disease care.
Health Policy Reform in China by Jiwei Qian,ke Blomqvist Pdf
Most of the existing literature on health system reform in China deals with only one part of the reform process (for example, financing reform in rural areas, or the new system of purchasing pharmaceuticals), or consists of empirical case studies from particular cities or regions. This book gives a broad overview of the process of health system reform in China. It draws extensively both on the Western literature in health economics and on the experience of health care reform in a number of other countries, including the US, UK, Holland, and Japan, and compares China''s approach to health care reform with other countries. It also places the process of health system reform in the context of re-orienting China''s economic policy to place greater emphasis on equity and income distribution, and analyzes the interaction of the central and local governments in designing and implementing the reforms. This book will be of interest to policymakers, academics, students of health economics, health policy and health administration, and people who are interested in Chinese social policy. Sample Chapter(s). Chapter 1: Health Policy in China: Introduction and Background (189 KB). Contents: Introduction: Health Policy in China: Introduction and Background; Health Systems and Health Reform: International Models; Main Components of Health Reform: Strengthening China''s Social Insurance System; Providing Primary Care; The Hospital Sector and Hospital Reform; China''s National Drug Policy: A Work in Progress; Health Care and Harmonious Development in China: Health Policy and Inequality; Decentralized Government, Central-Local Fiscal Relations, and Health Reform; China''s Health System in the Future: Health Services in the Future: Social Insurance and Purchasing; China''s Future Health Care System: A Mixed Public-Private Model?. Readership: Policy makers, academics, students of health economics, health policy, and health administration, and people who are interested in Chinese social policy.
Author : World Health Organization Publisher : World Health Organization Page : 24 pages File Size : 47,7 Mb Release : 2023-10-10 Category : Medical ISBN : 9789240080690
Purchasing for quality chronic care by World Health Organization Pdf
This policy brief series was edited by Sarah L Barber, World Health Organization (WHO) Centre for Health Development, Kobe, Japan (WHO Kobe Centre – WKC); Inke Mathauer, WHO Department of Health Systems Governance and Financing, Geneva, Switzerland; Megumi Rosenberg, WKC; and Luca Lorenzoni, Organisation for Economic Co-operation and Development (OECD), Paris, France. It is an accompaniment to a set of case study reports and a summary report on purchasing for chronic care that was published by the World Health Organization Centre for Health Development (WHO Kobe Centre – WKC), Kobe, Japan, and the Organisation for Economic Co-operation and Development (OECD), Paris, France. Each policy brief is adapted from the executive summary of its corresponding report. Details of each study are available in the full report cited at the end of each policy brief. The case studies were carried out to inform the summary report, which was developed jointly with the OECD under WHO Kobe Centre’s leadership as one of the flagship technical products of WHO designated in its Thirteenth General Programme of Work, 2019–2023.
The Chinese Health System in Transition by Lijie Fang Pdf
This book provides an overview of the ongoing transition in China’s health system, especially focusing on the new healthcare reform initiated in 2009. First, it reviews the changes in China’s healthcare system from the 1950s to 2008, establishing the situation when the reform was introduced. The book subsequently analyzes the social and economic context in which the health system is embedded. Since the primary focus is on the new healthcare reform, the book introduces the blueprint and the year-for-year development of the new healthcare reform, as well as the specific reforms in health financing, public hospitals, and primary care. Given its central importance in the health system, the book also described major trends in long-term care in the past several years. In addition, it examines the health policy-making process with a case study of the New Cooperative Medical Scheme of China. Lastly, the book assesses the performance of China’s health system and predicts future developmental trends.
Health Care in Rural China by Ofra Anson,Shifang Sun Pdf
This work examines health, defined in its broadest meaning, in rural China today. It explores the current social distribution of health status, health behaviour and health care and the processes by which these came about. By exploring universal questions in the social, historical and political context of rural China, the authors advance our understanding of the social processes which shape the social distribution of health and health care, and draw policy implications for both post-industrial and developing societies. Using rural China as a case study, three main issues are addressed: The role of ideology, politics and economic processes in shaping access to health and health care for the rural population; The behaviour patterns of lay persons and health professionals and the degree to which they are influenced by specific social context; Patterns of health inequalities and the distribution of health services. The book will be a useful reference for students, researchers and policy makers with an interest in health care in developing as well as post-industrial societies.
Public Health and the Modernization of China, 1865–2015 by Liping Bu Pdf
This book, based on extensive original research, traces the development of China’s public health system, showing how advances in public health have been an integral part of China’s rise. It outlines the phenomenal improvements in public health, for example the increase in life expectancy from 38 in 1949 to 73 in 2010; relates developments in public health to prevailing political ideologies; and discusses how the drivers of health improvements were, unlike in the West, modern medical professionals and intellectuals who understood that, whatever the prevailing ideology, China needs to be a strong country. The book explores how public health concepts, policies, programmes, institutions and practices changed and developed through social and political upheavals, war, and famine, and argues that this perspective of China’s development is refreshingly different from China’s development viewed purely in political terms.
How efficient is the Chinese healthcare system? Milcent examines the medication market in China against the global picture of healthcare organization, and how public healthcare insurance plans have been implemented in recent years, as well as reforms to tackle hospital inefficiency. Healthcare reforms, demographic changes and an increase in wealth inequity have altered healthcare preferences, which need to be addressed. Significantly, the patient–medical staff relationship is analysed, with new proposals for different lines of communication. Milcent puts forward digital healthcare in China as a tool to solve inefficiency and rising tensions, and generate profit. Where China is leading in the digitalization of healthcare, other countries can learn important lessons. Chinese social models are also put into context with respect to current reforms and experimentation.
The Chinese National Health Care Reform by Alex Jingwei He,Qingyue Meng Pdf
Five years have elapsed since the Chinese government announced its ambitious health care reform programme. The fact that both the United States and China unfolded their gigantic national health care reforms almost simultaneously is reflective of the daunting health policy challenges that most national governments are grappling with. While Obamacare has barely survived the obstruction from Congress and remains controversial, its Chinese counterpart has concluded its first phase at a fairly smooth pace. Having had three trillion RMB invested into it within five years, this landmark reform stands out as one of the biggest health policy interventions in modern history in terms of both scale and scope. A critical juncture in the reform process has been reached and it is time to assess its performance to date. This book provides an interim evaluation of China’s ongoing national health care reform from interdisciplinary perspective. Insights generated are not only valuable to inform next phase of the reform, but also relevant to health policy reformers in other developing and transitional countries. This book was published as a special issue of the Journal of Asian Public Policy.
This review of China's health sector begins by noting China's achievements in population control, health status, and nutrition. The policies, sources of financing, and resource use that have contributed to China's successes are cited, and the evolution of several influences on health from outside the sector are discussed, including nutritional improvements, greater access to clean water and sanitary waste disposal, and fertility reduction. Two major challenges now face China's health sector: (i) extending the methods that have been successful to areas where mortality rates and deaths due to infectious diseases remain high; and (ii) developing and implementing approaches to management of chronic disease that combine prevention, low-cost treatment, rehabilitation, and humane care. Major innovation will be essential because resources are limited and plans for meeting the health needs of the population are ambitious. Institutions capable of innovation, experimentation, and analysis of public health problems must be developed. The report includes discussion of specific issues in the sector.
In 1949, the Communist Party of China pledged that its approach to health care would differ markedly from that of the former Nationalist government and the "imperialist" West. For the next thirty years, under Mao's leadership, the People's Republic of China made improving the health of the entire population a central pillar of its policy. International health stakeholders came to view it as a statistical outlier in its ability to achieve better health outcomes with limited resources. The People's Health is the first systematic study of health care and medicine in Maoist China. Drawing on hundreds of files from rarely seen party archives and oral testimonies from experts, local cadres, and villagers across China, Zhou Xun shifts her historian's gaze away from official statistics towards the records of local institutions and personal memories that reflect and give voice to lived experiences. Through the everyday interactions of policy makers, national and local administration, and communities, Zhou illustrates the dynamic relationship between politics and health, and between individual lives and the political system. Presenting case studies of internationally acclaimed public health initiatives in the PRC - the anti-schistosomiasis campaign and the Barefoot Doctor program - this book offers the first thorough, politically neutral analysis of their background, execution, and national and international repercussions. Opening a unique window into the lives - and health care - of individuals living under communism, The People's Health examines the links between local interest, cultural sensibilities, resources, and abilities, exploring the often unforeseeable consequences of political planning and social engineering.
