激励
中国
业务
劳动力
医学
人口老龄化
医疗保健
准备
补贴
经济增长
护理部
人口
环境卫生
公共经济学
经济
政治学
微观经济学
管理
法学
市场经济
作者
Xi Li,Jiapeng Lu,Shuang Hu,Kar Keung Cheng,Jan De Maeseneer,Qingyue Meng,Elías Mossialos,Dong Xu,Winnie Yip,Hongzhao Zhang,Harlan M. Krumholz,Lixin Jiang,Shengshou Hu
出处
期刊:The Lancet
[Elsevier]
日期:2017-12-01
卷期号:390 (10112): 2584-2594
被引量:588
标识
DOI:10.1016/s0140-6736(17)33109-4
摘要
China has made remarkable progress in strengthening its primary health-care system. Nevertheless, the system still faces challenges in structural characteristics, incentives and policies, and quality of care, all of which diminish its preparedness to care for a fifth of the world's population, which is ageing and which has a growing prevalence of chronic non-communicable disease. These challenges include inadequate education and qualifications of its workforce, ageing and turnover of village doctors, fragmented health information technology systems, a paucity of digital data on everyday clinical practice, financial subsidies and incentives that do not encourage cost savings and good performance, insurance policies that hamper the efficiency of care delivery, an insufficient quality measurement and improvement system, and poor performance in the control of risk factors (such as hypertension and diabetes). As China deepens its health-care reform, it has the opportunity to build an integrated, cooperative primary health-care system, generating knowledge from practice that can support improvements, and bolstered by evidence-based performance indicators and incentives.
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