IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: china

Dec. 8, 2019 South-East Asia Publication

Using an evidence-based safety approach to develop China’s road safety strategies

Road accidents are a major global public safety and health problem. Presently, many countries such as China urgently need to find better strategies to improve their road safety. This paper has two key objectives, which are: (i) to propose potential solutions to improve China’s road safety, and (ii) to provide China and other countries with helpful evidence for their future road safety.

Dec. 4, 2019 South-East Asia Publication

Care providers, access to care, and the Long-term Care Nursing Insurance in China: An agent-based simulation

China piloted a publicly funded Long-term Care Nursing Insurance (LTCNI) with an aim to improve access to long-term care (LTC) for older people in China in 2012. Existing studies showed that the scheme has been successful in meeting some goals, but little is known on how the availability, price and quality of the local care providers affect access to care. This article founded considerable discrepancies in terms of access to services among the LTCNI beneficiaries. The poor are more likely to choose nursing home care with low costs albeit these services may be of poor quality. The demand for home-based services is high, but these services are not distributed according to population needs and are not available in some districts with high concentration of older people. 

Oct. 7, 2019 South-East Asia Publication

The development and reform of public health in China from 1949 to 2019

Public health system plays a vital role in the development of health sector in China and protects the health of Chinese people. However, there are few comprehensive reviews and studies focusing on its evolution and reform. It is worthwhile to pay attention to the public health development in China, given that the history and structure of public health system have their own characteristics in China.

The study is a retrospective review of the development public health over seven decades in China. It presents the findings from some national or provincial survey data, interviews with key informants, reviews of relevant published papers and policy contents

Oct. 3, 2019 South-East Asia Publication

China country assessment report on ageing and health

China is ageing much faster than other low- and middle-income countries. The proportion of the population aged 60 years and over will increase from 12.4% in 2010 to 28% in 2040. Also women outlive men, and populations in rural areas have higher proportions of older people.
Therefore, social and economic transitions are changing traditional care arrangements for older people in China. So, a health transition from communicable to noncommunicable disease is well under way in China.

Feb. 1, 2019 Western Pacific Publication

Understanding the determinants of public trust in the health care system in China: an analysis of a cross-sectional survey

Despite increasing research attention on public trust in health care systems, empirical evidence on this topic in the developing world is limited and inconclusive. This paper examines the level and determinants of public trust in the health care system in China where the findings suggest that low public trust in China’s health care system is a potential problem. Improving health care experiences may be the most practical and effective way of improving trust in the health care system in China.

Oct. 3, 2018 Western Pacific Publication

Communication Heal? Examining the Role of Patient Satisfaction and Communication Experience in China

China is facing the problem of having health care that is difficult to access. Online patient–provider communication (OPPC) may bring a new option to deliver health services. However, online communication with doctors is still novel to many people in China. Little research has been conducted to examine how OPPC could improve health outcomes. With an integrated model that incorporates social cognitive theory into the three-stage model of health promotion using interactive media, this study tested the social mechanism underlying the impact of OPPC

July 23, 2018 South-East Asia Publication

Vertical integrated service model: an educational intervention for chronic disease management and its effects in rural China – a study protocol

Chronic diseases are becoming a huge threat to the Chinese health system. Although the New Round of Medical Reform aims to improve this, the chronic disease management in rural China is still worrying as it relies highly on hospital care instead of primary care. The vertical integrated care model has proven to be effective for chronic disease patients in many high-income countries, while few studies have been conducted in China. In this project, vertical integrated care will be applied to optimize the care of patients with type 2 diabetes mellitus (T2DM) and primary hypertension in rural China, and to shift the care from hospital to primary care.

March 1, 2018 Western Pacific Publication

Development of global health research in China

With the continuous deepening and broaddening of Chin´s engagement in global health as well as the transformation of its role in global health governance, global healh science have made great strides in China, from the infancy stage of last century to the grown-up stage of this century. Considerable progress in global health discipline has been witnessed, especially in the last ten years. This report analyse the three crucial indications that characterized the rapid development of global health in China

Sept. 19, 2016 South-East Asia Publication

Healthy China : deepening health reform in China building high-quality and value-based service delivery

As many other countries, China faces big challenges to meet the health care needs of her citizens, associated with a rapidly aging society and increasing burden of non-communicable diseases (NCDs). Also, health costs have been growing at a rate higher than GDP growth since 2008.

Since the launch of health reform in 2009, China has invested significantly in health infrastructure at the grassroots level and made progress in building the primary care doctors system. Basic public health services capacity has been significantly enhanced. China is progressing quickly to achieving universal health coverage and some of the reform achievements have attracted worldwide attention.

The reform commanded many innovative pilots in health financing and service delivery at the local level and provided a strong foundation for the next stage of reform. This report aim to support China during this reform phase by recommending 8 sets of strategic reform directions, referred to as ...

May 25, 2016 Western Pacific Publication

Consolidating the social health insurance schemes in China: towards an equitable and efficient health system

Fragmentation in social health insurance schemes is an important factor for inequitable access to health care and financial protection for people covered by different health insurance schemes in China. To fulfil its commitment of universal health coverage by 2020, the Chinese Government needs to prioritise addressing this issue. After analysing the situation of fragmentation, this Review summarises efforts to consolidate health insurance schemes both in China and internationally. Rural migrants, elderly people, and those with non-communicable diseases in China will greatly benefit from consolidation of the existing health insurance schemes with extended funding pools, thereby narrowing the disparities among health insurance schemes in fund level and benefit package. Political commitments, institutional innovations, and a feasible implementation plan are the major elements needed for success in consolidation. Achievement of universal health coverage in China needs systemic strategies including consolidation of the social health insurance schemes.