The development of urban community health centres for strengthening primary care in China: a systematic literature review

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Wang, Harry Haoxiang ; Wang, Jia Ji ; Wong, Samuel Y.S. ; Wong, Martin C.S. ; Mercer, Stewart W. ; Griffiths, Sian M. (2015)

Introduction This review outlines the development of China's primary care system, with implications for improving equitable health care.\ud \ud Sources of data Government documents, official statistics, and recent literature identified through systematic searches performed on NCBI PubMed.\ud \ud Areas of agreement Community health centres (CHCs) are being developed as the major primary care provider in urban China, with laudable achievements. The road towards a strong primary care-led system is promising but challenging.\ud \ud Areas of controversy The effectiveness in improving equitable care through the expansion of primary care workforce and redesign of the social medical insurance system warrants further exploration.\ud \ud Growing points Healthcare disparities exist in the health system wherein universal health coverage and gatekeepers have not yet been established.\ud \ud Areas timely for developing research Future prospective studies should aim to provide solutions for strengthening the leading role of CHCs in providing equitable care in response to population ageing and multimorbidity challenges.
  • References (27)
    27 references, page 1 of 3

    144 145 146 147 148 149 150 151 152 153 154 155 156 Wang HHX, Wang JJ. Developing Primary Care in China. In: Griffiths SM, Tang JL, Yeoh EK, eds.

    Routledge Handbook of Global Public Health in Asia. Oxford, UK: Routledge publisher, 2014 April; 584-600. doi: 10.4324/9781315818719.ch40 Shani M, Wang HHX, Wong SYS, Griffiths SM. International primary care snapshots: Israel and China. Br J Gen Pract 2015;65:250-251 Daemmrich A. The political economy of healthcare reform in China: negotiating public and private.

    Springerplus 2013;2:448 Wang Y, Wilkinson M, Ng E, Cheng KK. Primary care reform in China. Br J Gen Pract 2012;62:546-7 Barber L, Yao L. Health insurance systems in China: a briefing note. World Health Report 2010 Healthy China 2020: Strategic Research Report: Ministry of Health, P.R. China, 2008, Available at: http://www.moh.gov.cn/mohbgt/s3582/201208/55652.shtml.

    Wong MCS, Zhang DX, Wang HHX. Rapid emergence of atherosclerosis in Asia: a systematic review of coronary atherosclerotic heart disease epidemiology and implications for prevention and control strategies. Curr Opin Lipidol 2015;26:257-69 Decision concerning public health reform and development. : State Council. P.R. China, 1997, Available at: http://www.moh.gov.cn/wsb/pM30115/200804/18540.shtml.

    Decision on establishing basic medical insurance system for urban employees. No. 44 document. : State Council. P.R. China, 1998, Available at: http://www.nhfpc.gov.cn/zhuzhan/wsbmgz/201304/ca9c5a7b37784dd2bc9e5a347c80a30e.shtml.

    Opinions on development of community health services in the cities. No.326 document: Division of Primary and Women's Health, Ministry of Health, P.R. China, 1999, Available at: http://www.nhfpc.gov.cn/zhuzhan/wsbmgz/201304/198b4a75380c45dd9dd4ad486e206be5.shtml.

    Opinions on developing general practice education. No. 34 document. : Ministry of Health, P.R.

    China, 2000, Available at: http://www.nhfpc.gov.cn/zhuzhan/zcjd/201304/545823f851f540abb26620e8be389a60.shtml.

    Guidance on pharmaceutical and healthcare system reform in urban areas. No. 16 document.: State Council, P.R. China, 2000, Available at: http://www.nhfpc.gov.cn/zhuzhan/zcjd/201304/24de2a857e4b4425a2736c45c6e0390d.shtml.

    Guidance on accelerating the community health service development in urban areas. No. 186 document.: Ministry of Health, P.R. China, 2002, Available at: http://www.nhfpc.gov.cn/zhuzhan/wsbmgz/201304/5d6de93afb4b45e0b180b0b47976f1a5.shtml.

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