ReviewThe Lancet. Public health2023
Universal health coverage in China part 2: addressing challenges and recommendations.
Review in The Lancet. Public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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.
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.
Who cites it
41 citing papers in PubMed, 46 citations in OpenAlex.
- The burdens, coping strategies, and unmet needs of family caregivers of Chinese patients with lymphoma receiving commercial CAR-T-cell therapy: A qualitative study.Asia-Pacific journal of oncology nursing · 2026Article
- Digitally enabled GP-specialist collaborative care helped improve hypertension outcomes and reduced hospital referrals in China.npj health systems · 2026Article
- Equity in health financing in China: a national financing and benefit incidence analysis, 2013-2023.The Lancet regional health. Western Pacific · 2026Article
- National and subnational burden of mental disorders in China, 1990-2023: a systematic analysis of the Global Burden of Disease Study 2023.The Lancet regional health. Western Pacific · 2026Article
- Assessment of Nutritional Trends and Program Implementation Under the Nutrition Improvement Program.Nutrients · 2026Article
- Rural residents' cognition of healthy lifestyles: a qualitative study in Shanxi Province, China.Scientific reports · 2026Article
- Primary health care-oriented reforms: the political economy dynamics underlying health-system shifts across nine countries.Health policy and planning · 2026Article
- Diagnosis-Related group payment and its impact on hospitalization costs and patient financial protection for neurointerventional stroke care in a Chinese tertiary hospital: a retrospective analysis.Cost effectiveness and resource allocation : C/E · 2026Article
- Impacts of medical insurance payment reform (DRG) on public medical institutions: evidence from pilot cities in China.BMC health services research · 2026Article
- From individual burden to social risk pooling: drivers of the declining out-of-pocket health expenditure share in China (2009-2024).International journal for equity in health · 2026Article
- A comparative analysis of traditional Chinese medicine health management services in Urban versus rural areas of Chongqing: implications for policy and practice.Frontiers in public health · 2026Article
- Medication Discrepancy in the Hospital-to-Home Transition Period of Elderly Chinese Patients with Coronary Heart Disease: A Qualitative Study.Patient preference and adherence · 2026Article
- Transforming long-term post-acute care for the aging population through home infusion therapy in China: an assessment of need and demand (Part 1).Frontiers in public health · 2026Review
- Health insurance participation may mitigate the health impact of food insecurity among Chinese working-age adults.Frontiers in public health · 2026Article
- Hierarchical differentiation and design gaps in China's Internet Plus Nursing Services Policies: a PMC index analysis.Frontiers in public health · 2026Article
- Assessment of China's food and nutrition policies based on healthy food environment policy index (food-EPI): focusing on governance, funding and resources, platforms for interaction.Frontiers in nutrition · 2026Article
- From midlife emergence to old-age divergence: an empirical study on structural gendered ageism in health service utilization in Tibet.International journal for equity in health · 2025Article
- Out-of-pocket expenditure for cataract surgery in rural China: a cross-sectional survey combined with hospital administrative data.International journal for equity in health · 2025Article
- [Regional distribution differences and influencing factors of primary healthcare institutions in China].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025Article
- [Current Status and Effect Pathways of Knowledge, Attitude, and Practice of Medical Care and Prevention Integration Among Medical Professionals].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Article
Corrections and comments
- AssociatedDataset
Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This report analyses the underlying causes of China's achievements and gaps in universal health coverage over the past 2 decades and proposes policy recommendations for advancing universal health coverage by 2030. Although strong political commitment and targeted financial investment have produced positive outcomes in reproductive, maternal, newborn, and child health and infectious diseases, a fragmented and hospital-centric delivery system, rising health-care costs, shallow benefit coverage of health insurance schemes, and little integration of health in all policies have restricted China's ability to effectively prevent and control chronic disease and provide adequate financial risk protection, especially for lower-income households. Here, we used a health system conceptual framework and we propose a set of feasible policy recommendations that draw from international experiences and first-hand knowledge of China's unique institutional landscape. Our six recommendations are: instituting a primary care-focused integrated delivery system that restructures provider incentives and accountability mechanisms to prioritise prevention; leveraging digital tools to support health behaviour change; modernising information campaigns; improving financial protection through insurance reforms; promoting a health in all policy; and developing a domestic monitoring framework with refined tracer indicators that reflects China's disease burden.
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What OpenQuestion holds
Registered trials
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.