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Special Features: Global Medicine |

Health Care in ChinaHealth-care Reform in China: Improvement, Challenges, and Reform

Chen Wang, MD, PhD, FCCP; Keqin Rao, MD; Sinan Wu, MD; Qian Liu, MD
Author and Funding Information

From Beijing Hospital (Drs Wang and Wu) and the Beijing Institute of Geriatrics (Dr Wu), Ministry of Health; the Beijing Institute of Respiratory Medicine (Dr Wang), Beijing Key Laboratory of Respiratory and Pulmonary Circulation Disorders, Department of Respiratory Medicine, Capital Medical University; the Chinese Medical Association (Dr Rao); and the Ministry of Health of the People’s Republic of China (Dr Liu), Beijing, China.

Correspondence to: Chen Wang, MD, PhD, FCCP, Beijing Hospital, Ministry of Health, No. 1 Dahua Rd, Dongcheng District, Beijing, 100730, China; email: cyh-birm@263.net


Funding/Support: This work was supported by the National Key Technology Research and Development Program of the Ministry of Science and Technology of China [Grant 2012BAI05B02].

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(2):524-531. doi:10.1378/chest.12-1839
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Over the past 2 decades, significant progress has been made in improving the health-care system and people’s health conditions in China. Following rapid economic growth and social development, China’s health-care system is facing new challenges, such as increased health-care demands and expenditure, inefficient use of health-care resources, unsatisfying implementation of disease management guidelines, and inadequate health-care insurance. Facing these challenges, the Chinese government carried out a national health-care reform in 2009. A series of policies were developed and implemented to improve the health-care insurance system, the medical care system, the public health service system, the pharmaceutical supply system, and the health-care institution management system in China. Although these measures have shown promising results, further efforts are needed to achieve the ultimate goal of providing affordable and high-quality care for both urban and rural residents in China. This article not only covers the improvement, challenges, and reform of health care in general in China, but also highlights the status of respiratory medicine-related issues.

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