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China's health system performance

Summary We created a comprehensive set of health-system performance measurements for China nationally and regionally, with health-system coverage and catastrophic medical spending as major indicators. With respect to performance of health-care delivery, China has done well in provision of maternal a... Full description

Journal Title: The Lancet (British edition) 2008, Vol.372 (9653), p.1914-1923
Main Author: Liu, Yuanli, Dr
Other Authors: Rao, Keqin, MD , Wu, Jing, MD , Gakidou, Emmanuela, PhD
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: England: Elsevier B.V
ID: ISSN: 0140-6736
Link: https://www.ncbi.nlm.nih.gov/pubmed/18930536
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recordid: cdi_proquest_miscellaneous_69847305
title: China's health system performance
format: Article
creator:
  • Liu, Yuanli, Dr
  • Rao, Keqin, MD
  • Wu, Jing, MD
  • Gakidou, Emmanuela, PhD
subjects:
  • Abridged Index Medicus
  • Child Health Services - economics
  • Child Health Services - trends
  • Child, Preschool
  • China
  • Delivery of Health Care - economics
  • Delivery of Health Care - statistics & numerical data
  • Delivery of Health Care - trends
  • Demographic aspects
  • Female
  • Health care industry
  • Health care reform
  • Health Care Reform - organization & administration
  • Health Care Reform - trends
  • Health Services Accessibility - economics
  • Health Services Accessibility - statistics & numerical data
  • Health Services Needs and Demand
  • Humans
  • Hypertension
  • Internal Medicine
  • Male
  • Management
  • Maternal Health Services - economics
  • Maternal Health Services - trends
  • Medical care
  • Public health
  • Rural Health Services - economics
  • Rural Health Services - statistics & numerical data
  • Rural Health Services - trends
  • Urban Health Services - economics
  • Urban Health Services - statistics & numerical data
  • Urban Health Services - trends
ispartof: The Lancet (British edition), 2008, Vol.372 (9653), p.1914-1923
description: Summary We created a comprehensive set of health-system performance measurements for China nationally and regionally, with health-system coverage and catastrophic medical spending as major indicators. With respect to performance of health-care delivery, China has done well in provision of maternal and child health services, but poorly in addressing non-communicable diseases. For example, coverage of hospital delivery increased from 20% in 1993 to 62% in 2003 for women living in rural areas. However, effective coverage of hypertension treatment was only 12% for patients living in urban areas and 7% for those in rural areas in 2004. With respect to performance of health-care financing, 14% of urban and 16% of rural households incurred catastrophic medical expenditure in 2003. Furthermore, 15% of urban and 22% of rural residents had affordability difficulties when accessing health care. Although health-system coverage improved for both urban and rural areas from 1993 to 2003, affordability difficulties had worsened in rural areas. Additionally, substantial inter-regional and intra-regional inequalities in health-system coverage and health-care affordability measures exist. People with low income not only receive lower health-system coverage than those with high income, but also have an increased probability of either not seeking health care when ill or undergoing catastrophic medical spending. China's current health-system reform efforts need to be assessed for their effect on performance indicators, for which substantial data gaps exist.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0140-6736
fulltext: fulltext
issn:
  • 0140-6736
  • 1474-547X
url: Link


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descriptionSummary We created a comprehensive set of health-system performance measurements for China nationally and regionally, with health-system coverage and catastrophic medical spending as major indicators. With respect to performance of health-care delivery, China has done well in provision of maternal and child health services, but poorly in addressing non-communicable diseases. For example, coverage of hospital delivery increased from 20% in 1993 to 62% in 2003 for women living in rural areas. However, effective coverage of hypertension treatment was only 12% for patients living in urban areas and 7% for those in rural areas in 2004. With respect to performance of health-care financing, 14% of urban and 16% of rural households incurred catastrophic medical expenditure in 2003. Furthermore, 15% of urban and 22% of rural residents had affordability difficulties when accessing health care. Although health-system coverage improved for both urban and rural areas from 1993 to 2003, affordability difficulties had worsened in rural areas. Additionally, substantial inter-regional and intra-regional inequalities in health-system coverage and health-care affordability measures exist. People with low income not only receive lower health-system coverage than those with high income, but also have an increased probability of either not seeking health care when ill or undergoing catastrophic medical spending. China's current health-system reform efforts need to be assessed for their effect on performance indicators, for which substantial data gaps exist.
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subjectAbridged Index Medicus ; Child Health Services - economics ; Child Health Services - trends ; Child, Preschool ; China ; Delivery of Health Care - economics ; Delivery of Health Care - statistics & numerical data ; Delivery of Health Care - trends ; Demographic aspects ; Female ; Health care industry ; Health care reform ; Health Care Reform - organization & administration ; Health Care Reform - trends ; Health Services Accessibility - economics ; Health Services Accessibility - statistics & numerical data ; Health Services Needs and Demand ; Humans ; Hypertension ; Internal Medicine ; Male ; Management ; Maternal Health Services - economics ; Maternal Health Services - trends ; Medical care ; Public health ; Rural Health Services - economics ; Rural Health Services - statistics & numerical data ; Rural Health Services - trends ; Urban Health Services - economics ; Urban Health Services - statistics & numerical data ; Urban Health Services - trends
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10Health care industry
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abstractSummary We created a comprehensive set of health-system performance measurements for China nationally and regionally, with health-system coverage and catastrophic medical spending as major indicators. With respect to performance of health-care delivery, China has done well in provision of maternal and child health services, but poorly in addressing non-communicable diseases. For example, coverage of hospital delivery increased from 20% in 1993 to 62% in 2003 for women living in rural areas. However, effective coverage of hypertension treatment was only 12% for patients living in urban areas and 7% for those in rural areas in 2004. With respect to performance of health-care financing, 14% of urban and 16% of rural households incurred catastrophic medical expenditure in 2003. Furthermore, 15% of urban and 22% of rural residents had affordability difficulties when accessing health care. Although health-system coverage improved for both urban and rural areas from 1993 to 2003, affordability difficulties had worsened in rural areas. Additionally, substantial inter-regional and intra-regional inequalities in health-system coverage and health-care affordability measures exist. People with low income not only receive lower health-system coverage than those with high income, but also have an increased probability of either not seeking health care when ill or undergoing catastrophic medical spending. China's current health-system reform efforts need to be assessed for their effect on performance indicators, for which substantial data gaps exist.
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