Health Affairs

Health Affairs, 27, no. 4 (2008): 937-948 doi: 10.1377/hlthaff.27.4.937 © 2008 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Reform Goes Global

From A National, Centrally Planned Health System To A System Based On The Market: Lessons From China

Jin Ma, Mingshan Lu and Hude Quan

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.

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