Primary health reforms in China since the New Healthcare Reform: Policy, Practice, and Progress
Main Article Content
Abstract
In 2009, China launched a new round of radical healthcare system reforms, with primary health as a key area. Great progress and good outcomes have been made in promoting primary health which have helped to form the typical model and experience of primary health in China in its current development stage. Based on literature analysis and case study, this paper reviewed the history of primary health care in China since the latest round of healthcare system reforms, summarized the practices and outcomes of initiating institutional reforms, enhancing health capacity, improving care delivery, and building the system, so as to provide some experiences for the international comparison. In the face of the new situation of population aging and changes in the spectrum of diseases, China's primary health care is still facing problems and challenges such as unbalanced development, weak service capacity, weak talent team, and the lack of a hierarchical diagnosis and treatment system. Considering the actual situation of primary health in China and looking ahead, next step five areas need be reinforced.
Keywords:
Primary health care, Effectiveness, China
Article Details
How to Cite
XIAO, Yue et al.
Primary health reforms in China since the New Healthcare Reform: Policy, Practice, and Progress.
Medical Research Archives, [S.l.], v. 12, n. 8, aug. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5574>. Date accessed: 06 sep. 2024.
doi: https://doi.org/10.18103/mra.v12i8.5574.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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https://www.gov.cn/zhengce/zhengceku/2013-02/20/content_6109.htm
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http://www.nhc.gov.cn/tigs/s3577/201606/e3e7d2670a8b4163b1fe8e409c7887af.shtml
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http://www.nhc.gov.cn/jws/s7882/202203/060ecf9a84af443aa349d447c4dfdd31.shtml
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https://www.gov.cn/zhengce/2023-02/23/content_5742938.htm
18. National Health Commission. Guiding Opinions on Comprehensively promoting the construction of tight county-level medical and Health community. July 1, 2024.
http://www.nhc.gov.cn/jws/s7874/202312/e5d16e73fa324533bcc8f75755844726.shtml
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https://www.ah.gov.cn/public/1681/564230091.html
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25. 25. Renyuan Wang. Zhejiang: To "three strong" as the goal to build a solid health modernization of the county cornerstone. Chinese Health. 2024,(03):48-49. doi:10.15973/j.cnki.cn11-3708/d.2024.03.020.
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https://kns.cnki.net/kcms2/article/abstract?v=9UjK0-enmQiquXvHCmUzluRonvW11Ei6BYcK2bam_0KPdmJ7ddaXdUbM1hZ_i2wzJ12zEFiP0W_RRBpaKTzvdyS_Sn5qKQ6qgCpjzErjaGC1_uZrz2wiU42TFNV3BGN7ZusQyNRowBMYvibTr4iDQ==&uniplatform=NZKPT&language=CHS
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http://www.nhc.gov.cn/wjw/tia/202310/5a2276571fd9487684f1da40b6e776b5.shtml
28. Najie Lu. The enlightenment of the British NHS reform for promoting the high-quality development of family doctor contract services in China. The Western Academic Journal. 2023(08):57-61. doi:10.16721/j.cnki.cn61-1487/c.2023.08.012.
29. Zhejiang Provincial Health Commission. "Guiding Opinions on Strengthening Public Health Work in County-Level Medical and Health Cooperation Systems". Accessed April 29,2024.
https://www.zj.gov.cn/art/2023/4/18/art_1229019365_2474133.html
30. Xianjun Wang, Zhiyou Tang, Wenmei Yang, Zhi Xiao, Fanfan Tang, Bin Hu. A Study on the "Five-in-One" integrated healthcare management Service model for primary healthcare institutions. Chinese General Medicine. 2020,23(31):3924-3929. doi:10.12114/j.issn.1007-9572.2020.00.454.
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32. Chunlei Nie,Wei Fu,Ge Gan, et al. 2022 typical case of comprehensive reform of primary health care. Beijing: People's Health Publishing House; 2022.
33. Jiangmei Qin,Chunmei Lin,Yanchun Zhang, Lifang Zhang. Current situation and challenge of primary health care in China. Chinese General Medicine. 2024,27(16):1917-1923. doi:10.12114/j.issn.1007-9572.2024.0009
34. Lifang Zhang, Yali Dong, Xin Wang, Yanchun Zhang, Jiangmei Qi. Research on progress and sustainable development of community hospital construction. Chinese health policy research. 2022,15(08):48-53. doi:10.3969/j.issn.1674-2982.2022.08.008.
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