Evidence map›Paper›PMID 31571602›Full record

ReviewLancet (London, England)2019

10 years of health-care reform in China: progress and gaps in Universal Health Coverage.

Winnie Yip, Hongqiao Fu, Angela T Chen, Tiemin Zhai, Weiyan Jian, Roman Xu, Jay Pan, Min Hu, Zhongliang Zhou, Qiulin Chen and 3 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Lancet (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 763 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
763citing papers in PubMed, 5 pooled it
124.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

763 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,192 citations in OpenAlex.

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703 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 11 institutions in 2 countries.

Winnie YipHarvard School of Public Health, Boston, MA, USA. Electronic address: wyip@hsph.harvard.edu.
Hongqiao FuDepartment of Health Policy and Management, School of Public Health, Peking University Health Science Center, Beijing, China.
Angela T ChenChina Health Partnership, Harvard TH Chan School of Public Health, Boston, MA, USA.
Tiemin ZhaiChina National Health Development Center, Beijing, China.
Weiyan JianDepartment of Health Policy and Management, School of Public Health, Peking University Health Science Center, Beijing, China.
Roman XuSun Yat-sen Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-sen University, Guangzhou, China.
Jay PanWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Min HuSchool of Public Health, Fudan University, Shanghai, China.
Zhongliang ZhouSchool of Public Policy and Administration, Xi'an Jiaotong University, Xi'an, China.
Qiulin ChenInstitute of Population and Labor Economics, Chinese Academy of Social Sciences, Beijing, China.
Wenhui MaoCenter for Policy Impact in Global Health, Duke Global Health Institute, Duke University, Durham, NC, USA.
Qiang SunSchool of Health Care Management and Key Laboratory of Health Economic and Policy Research of National Health Commission, Shandong University, Jinan, China.
Wen ChenSchool of Public Health, Fudan University, Shanghai, China.
Fudan University · CNPeking University · CNChina National Health Development Research Center · CNCommunity Health Partnership · USDuke Institute for Health Innovation · USHarvard University · USInstitute of Population and Labor Economics · CNShandong University · CNSichuan University · CNSun Yat-sen University · CNXi'an Jiaotong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2009, China launched a major health-care reform and pledged to provide all citizens with equal access to basic health care with reasonable quality and financial risk protection. The government has since quadrupled its funding for health. The reform's first phase (2009-11) emphasised expanding social health insurance coverage for all and strengthening infrastructure. The second phase (2012 onwards) prioritised reforming its health-care delivery system through: (1) systemic reform of public hospitals by removing mark-up for drug sales, adjusting fee schedules, and reforming provider payment and governance structures; and (2) overhaul of its hospital-centric and treatment-based delivery system. In the past 10 years, China has made substantial progress in improving equal access to care and enhancing financial protection, especially for people of a lower socioeconomic status. However, gaps remain in quality of care, control of non-communicable diseases (NCDs), efficiency in delivery, control of health expenditures, and public satisfaction. To meet the needs of China's ageing population that is facing an increased NCD burden, we recommend leveraging strategic purchasing, information technology, and local pilots to build a primary health-care (PHC)-based integrated delivery system by aligning the incentives and governance of hospitals and PHC systems, improving the quality of PHC providers, and educating the public on the value of prevention and health maintenance.

Indexed as

Delivery of Health CareHealth Care ReformHealth Services AccessibilityPrimary Health CareUniversal Health InsuranceChinaHealth EducationHealth ExpendituresHealth PolicyHumansNoncommunicable Diseases

Identifiers

PMID31571602
OpenAlexW2976258142

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.