From a national, centrally planned health system to a system based on the market: Lessons from China
From a national, centrally planned health system to a system based on the market: Lessons from China
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DOI：
10.1377/hlthaff.27.4.937
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发表时间：
2008-07-01
期刊：
影响因子：
9.7
通讯作者：
Quan, Hude
中科院分区：
文献类型：
--
作者：
Ma, Jin;Lu, Mingshan;Quan, Hude
没有其他国家经历过像中国这样戏剧性的医疗改革。从1978年开始，中国将其卫生系统从政府、中央计划和全民系统改革为高度市场化的系统。三十年后的今天，中国政府公开承认改革失败，并寻求新的方向。本文通过从系统的角度研究中国的医疗保健，描述了改革后时代的医疗服务提供，可及性，结果和人口健康。报告还指出了现行体制中的主要问题，并强调了从中国改革进程中吸取的主要教训。
No other country has undergone health care reforms as dramatic as China's. Starting in 1978, China reformed its health system from a governmental, centrally planned, and universal system to a heavily market-based one. Now, three decades later, the Chinese government openly acknowledges that the reforms failed and seeks new directions. This paper adds to the literature by examining China's health care from a system perspective, describing its health services delivery, access, outcomes, and population health in the post-reform era. It also identifies the main issues in the current system and highlights the key lessons learned from China's reform process.