Evidence map›Paper›PMID 32257401›Full record

ReviewBMJ global health2020

Towards universal health coverage: achievements and challenges of 10 years of healthcare reform in China.

Wenjuan Tao, Zhi Zeng, Haixia Dang, Peiyi Li, Linh Chuong, Dahai Yue, Jin Wen, Rui Zhao, Weimin Li, Gerald Kominski

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMJ global health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

65 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. Core elements of excellent hospital leadership: lessons from the five top-performing hospitals in China.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Wenjuan Tao *Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-5926-2545
Zhi Zeng *Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China.
Haixia DangResearch Center of Tradtional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Peiyi LiInstitute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China.
Linh ChuongDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, California, USA.
Dahai YueDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, California, USA.
Jin WenInstitute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China.
Rui ZhaoDepartment of drug policy and evaluation research, China National Health Development Research Center, Beijing, China.
Weimin LiPresident's Office, West China Hospital, Sichuan University, Chengdu, China.
Gerald KominskiDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles (UCLA), Los Angeles, California, USA.

Funding

NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
NCATS NIH HHS TL1 TR001883
6 · The paper itself

Abstract

Universal health coverage (UHC) has been identified as a priority for the global health agenda. In 2009, the Chinese government launched a new round of healthcare reform towards UHC, aiming to provide universal coverage of basic healthcare by the end of 2020. We conducted a secondary data analysis and combined it with a literature review, analysing the overview of UHC in China with regard to financial protection, coverage of health services and the reported coverage of the WHO and the World Bank UHC indicators. The results include the following: out-of-pocket expenditures as a percentage of current health expenditures in China have dropped dramatically from 60.13% in 2000 to 35.91% in 2016; the health insurance coverage of the total population jumped from 22.1% in 2003 to 95.1% in 2013; the average life expectancy increased from 72.0 to 76.4, maternal mortality dropped from 59 to 29 per 100 000 live births, the under-5 mortality rate dropped from 36.8 to 9.3 per 1000 live births, and neonatal mortality dropped from 21.4 to 4.7 per 1000 live births between 2000 and 2017; and so on. Our findings show that while China appears to be well on the path to UHC, there are identifiable gaps in service quality and a requirement for ongoing strengthening of financial protections. Some of the key challenges remain to be faced, such as the fragmented and inequitable health delivery system, and the increasing demand for high-quality and value-based service delivery. Given that China has committed to achieving UHC and 'Healthy China 2030', the evidence from this study can be suggestive of furthering on in the UHC journey and taking the policy steps necessary to secure change.

Indexed as

Health Care ReformUniversal Health InsuranceChinaHealth ExpendituresHealth ServicesHumansInfant, Newbornhealth insurancehealth policyhealth systems evaluationpublic health

Identifiers

PMID32257401
PMCPMC7103842

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.