Evidence map›Paper›PMID 37649062›Full record

ReviewCost effectiveness and resource allocation : C/E2023

Successes and challenges of China's health care reform: a four-decade perspective spanning 1985-2023.

Mihajlo Jakovljevic, Hanyu Chang, Jay Pan, Chao Guo, Jin Hui, Hao Hu, Danko Grujic, Zhong Li, Lizheng Shi

Abstract readReview
In one paragraph

Review in Cost effectiveness and resource allocation : C/E, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing 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

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

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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

9 authors.

Mihajlo JakovljevicInstitute of Comparative Economic Studies, Hosei University Faculty of Economics, Tokyo, Japan. jakovljevic.mihajlo.46@hosei.ac.jp.
Hanyu ChangDepartment of Medical Insurance, The First Hospital of Lanzhou University, Lanzhou, China.
Jay PanHEOA Group, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
Chao GuoInstitute of Population Research, Peking University, Beijing, China.
Jin HuiSchool of Economics and Management, Zhejiang Sci-Tech University, Hangzhou, China.
Hao HuInstitute of Chinese Medical Sciences, University of Macau, Macao, SAR, China.
Danko GrujicClinic for Cardiac Surgery, University Clinical Center of Serbia, Belgrade, Serbia.
Zhong LiSchool of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, China.
Lizheng ShiHealth Systems Analytics Research Center, Tulane University, New Orleans, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chinese health system remains the crucial one for understanding the wider healthcare landscape across the Global South and in particular the leading Emerging Markets. Purpose of our observation was to understand the inner dynamics of mainland Chinese health reforms adopting a lengthy time horizon. We have analysed the public reports and seminal evidence on Chinese of multiple waves of national health reforms taking place since 1980s in terms of medical care and pharmaceuticals provision and financing. Chinese international trade with ASEAN nations and wider South-East Asia is accelerating its growth after the recovery of trade routes. In terms of health sector this means that global demand and supply of medical goods, services and pharmaceuticals remains largely driven by Chinese domestic developments. Furthermore, Chinese domestic manufacturing and sales of decent quality medical devices and services have grown exponentially. Some temporary pitfalls and increasing in rural-urban inequalities in equity of access and affordability of medical care and pharmaceuticals did take place. Despite these difficulties to generate a balanced development strategy for the largest global market, this is a clear path upwards. Further upcoming improvements expanding health insurance coverage are in strong demand for certain layers of the society. Domestic bottleneck weaknesses yet remain manufacturing, import and market penetration of cutting-edge pharmaceuticals such as monoclonal antibodies and targeted oncology agents. Yet some of these obstacles are likely to be overcome in foreseeable future with the adoption of responsible strategies by governmental agencies in health care arena.

Indexed as

Chinese health reformDemandIndustryInsurance policyManufacturingMarketMedical careMedical devicesPerspectivePharmaceuticalsStandardsSupply

Identifiers

PMID37649062
PMCPMC10469830

What OpenQuestion holds

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LicenceCC BY
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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.