Intended for healthcare professionals

China's health system reforms: review of 10 years of progress

China's health system reforms

China’s rapid economic growth over the past 40 years was accompanied by emerging health problems such as non-communicable diseases, an ageing population, and rising expectations about health. Difficulties with health financing, healthcare delivery, and public health made health service reform urgent. This BMJ collection with Peking University analyses the achievements and challenges of the 2009 health system reforms and outlines next steps in improving China's health.


China’s encouraging commitment to health
Qingyue Meng and colleagues
[Chinese translation]


What can we learn from China’s health system reform?
Qingyue Meng and colleagues assess what China’s health system reform has achieved and what needs to be done over the next decade
[Chinese translation]

Realigning the incentive system for China’s primary healthcare providers
Although reforms have reduced incentives to overprescribe, more needs to be done to link performance to quality and ensure primary care doctors are adequately paid, say Xiaochen Ma and colleagues
[Chinese translation]

Strengthening public health services to achieve universal health coverage in China
Better integration of public health and medical services and greater focus on quality of services are needed to make further progress on health outcomes, say Beibei Yuan and colleagues
[Chinese translation]

Enhancing financial protection under China’s social health insurance to achieve universal health coverage
Hai Fang and colleagues highlight the need for better financial protection for poor people
[Chinese translation]

Reforming public hospital financing in China: progress and challenges
Jin Xu and colleagues describe the effects of the financing reforms of public hospitals and suggest steps to further progress towards equitable, efficient, and good quality care
[Chinese translation]

Rational use of antibiotics in the context of China’s health system reform
Despite improvements in antibiotic use in tertiary hospitals, problems remain in other parts of the health system, say Ping He and colleagues
[Chinese translation]

Containing medical expenditure: lessons from reform of Beijing public hospitals
Beijing’s reforms have succeeded in reducing hospitals’ reliance on drug sales and shifting patients to primary care, say Xiaoyun Liu and colleagues
[Chinese translation]

These articles are part of a series proposed by Peking University China Center for Health Development Studies and commissioned by The BMJ, which retained full editorial control over external peer review, editing, and publication of these articles. Open access fees are funded by Peking University Health Science Center.

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