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The primary health-care system in China

(2017) LANCET. 390(10112). p.2584-2594
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Abstract
China has made remarkable progress in strengthening its primary health-care system. Nevertheless, the system still faces challenges in structural characteristics, incentives and policies, and quality of care, all of which diminish its preparedness to care for a fifth of the world's population, which is ageing and which has a growing prevalence of chronic non-communicable disease. These challenges include inadequate education and qualifications of its workforce, ageing and turnover of village doctors, fragmented health information technology systems, a paucity of digital data on everyday clinical practice, financial subsidies and incentives that do not encourage cost savings and good performance, insurance policies that hamper the efficiency of care delivery, an insufficient quality measurement and improvement system, and poor performance in the control of risk factors (such as hypertension and diabetes). As China deepens its health-care reform, it has the opportunity to build an integrated, cooperative primary health-care system, generating knowledge from practice that can support improvements, and bolstered by evidence-based performance indicators and incentives.
Keywords
RATIONAL DRUG-USE, JOB-SATISFACTION, VILLAGE DOCTORS, HUBEI PROVINCE, WESTERN CHINA, URBAN CHINA, RURAL CHINA, REFORM, QUALITY, FACILITIES

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Citation

Please use this url to cite or link to this publication:

Chicago
Li, Xi, Jiapeng Lu, Shuang Hu, KK Cheng, Jan De Maeseneer, Qingyue Meng, Elias Mossialos, et al. 2017. “The Primary Health-care System in China.” Lancet 390 (10112): 2584–2594.
APA
Li, Xi, Lu, J., Hu, S., Cheng, K., De Maeseneer, J., Meng, Q., Mossialos, E., et al. (2017). The primary health-care system in China. LANCET, 390(10112), 2584–2594.
Vancouver
1.
Li X, Lu J, Hu S, Cheng K, De Maeseneer J, Meng Q, et al. The primary health-care system in China. LANCET. 2017;390(10112):2584–94.
MLA
Li, Xi, Jiapeng Lu, Shuang Hu, et al. “The Primary Health-care System in China.” LANCET 390.10112 (2017): 2584–2594. Print.
@article{8545680,
  abstract     = {China has made remarkable progress in strengthening its primary health-care system. Nevertheless, the system still faces challenges in structural characteristics, incentives and policies, and quality of care, all of which diminish its preparedness to care for a fifth of the world's population, which is ageing and which has a growing prevalence of chronic non-communicable disease. These challenges include inadequate education and qualifications of its workforce, ageing and turnover of village doctors, fragmented health information technology systems, a paucity of digital data on everyday clinical practice, financial subsidies and incentives that do not encourage cost savings and good performance, insurance policies that hamper the efficiency of care delivery, an insufficient quality measurement and improvement system, and poor performance in the control of risk factors (such as hypertension and diabetes). As China deepens its health-care reform, it has the opportunity to build an integrated, cooperative primary health-care system, generating knowledge from practice that can support improvements, and bolstered by evidence-based performance indicators and incentives.},
  author       = {Li, Xi and Lu, Jiapeng and Hu, Shuang and Cheng, KK and De Maeseneer, Jan and Meng, Qingyue and Mossialos, Elias and Xu, Dong Roman and Yip, Winnie and Zhang, Hongzhao and Krumholz, Harlan M and Jiang, Lixin and Hu, Shengshou},
  issn         = {0140-6736},
  journal      = {LANCET},
  keyword      = {RATIONAL DRUG-USE,JOB-SATISFACTION,VILLAGE DOCTORS,HUBEI PROVINCE,WESTERN CHINA,URBAN CHINA,RURAL CHINA,REFORM,QUALITY,FACILITIES},
  language     = {eng},
  number       = {10112},
  pages        = {2584--2594},
  title        = {The primary health-care system in China},
  url          = {http://dx.doi.org/10.1016/s0140-6736(17)33109-4},
  volume       = {390},
  year         = {2017},
}

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