Title Healthy China
Subtitle Deepening Health Reform in China- Building High-Quality and Value-Based Service Delivery
Author The World Bank, World Health Organization
ISBN 9781464812637
List price USD 59.95
Price outside India Available on Request
Original price
Binding Paperback
No of pages 414
Book size 203 X 267 mm
Publishing year 2019
Original publisher The World Bank
Published in India by .
Exclusive distributors Viva Books Private Limited
Sales territory India, Sri Lanka, Bangladesh, Pakistan, Nepal, .
Status New Arrival
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The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis.





Executive Summary • China’s Health System • Report Background and Structure • The Recommendations • Implementation of Health Care Reforms • Notes

Introduction • China’s Road to Health Care Reform • Report Objectives and Audience • Report Structure • References

Chapter 1. Impressive Gains, Looming Challenges • Introduction • China’s Changing Health Care Needs • Health System Reform in China: A Brief Overview • Meeting China’s Health Care Needs: Key Challenges • Impact of Selected Policy Changes on Health Expenditures • Conclusion • Notes • References

Chapter 2. Lever 1: Shaping Tiered Health Care Delivery with People-Centered Integrated Care • The People-Centered Integrated Care (PCIC) Model • Benefits of Adopting PCIC • Challenges to PCIC Implementation in China • Core Action Areas and Implementation Strategies • Moving Forward on the PCIC Core Action Areas • Annex 2A Summary of PCIC Impact Findings by Case Studies • Annex 2B Methodology and Summaries of 22 PCIC Performance Improvement Initiatives Described in the Case Studies • Annex 2C Characteristics of Care Integration Initiatives Involving Hospitals • Notes • References

Chapter 3. Lever 2: Improving Quality of Care • Introduction • Conceptualizing, Assessing, and Improving the Quality of Care • QoC Challenges in China • China’s Health Care Regulatory and Policy Environment • International Experience in Improving Health System Quality • Recommendations to China for Improving the Quality of Care • Conclusion • Notes • References

Chapter 4. Lever 3: Engaging Citizens in Support of the PCIC Model • Introduction • Challenges to Engaging Citizens • Two Routes to Engage People to Improve Health Outcomes and Restore Trust • Recommendations: Strengthening Patient Engagement in the Patient-Provider Relationship • Notes • References

Chapter 5. Lever 4: Reforming Public Hospital Governance and Management • Introduction • Overview and Trends • Public Hospital Governance: Challenges and Lessons from Reform in China and Internationally • Hospital Managerial Practices: Challenges and Lessons from China and Internationally • Recommendations for Moving Forward with Public Hospital Reform • Notes • References

Chapter 6. Lever 5: Realigning Incentives in Purchasing and Provider Payment • Introduction • Evolution of Health System Incentives • Challenges and Lessons Learned From Selected Case Studies • Provider Payment Reforms in China: Lessons From Recent Pilots • Core Action Areas and Implementation Strategies to Realign Incentives • Notes • References

Chapter 7. Lever 6: Strengthening the Health Workforce • Introduction • The Chinese Health Labor Market: Trends and Challenges • Recommendations for Human Resources Reform • An Implementation Road Map • Annex 7A Supplementary Tables • Notes • References

Chapter 8. Lever 7: Strengthening Private Sector Engagement in Health Service Delivery • Introduction • Evolution of Policies on the Private Health Sector • Scope and Growth of China’s Private Health Sector • Key Challenges • Recommendations for Strengthening Private Sector Engagement • Annex 8A Supplementary Tables • Notes • References

Chapter 9. Lever 8: Modernizing Health Service Planning to Guide Investment • Introduction • Capital Investment Challenges in China’s Health Sector • Recommendations to Modernize Service Planning • Notes • References

Chapter 10. Strengthening the Implementation of Health Service Delivery Reform • Introduction • Implementation Challenges • A Four-Part Actionable Implementation Framework • Moving Forward: Effective, Sustainable Local Implementation • Toward a Sequential Plan for Full-Scale Reform Implementation in China • Annex 10A Case Examples of Transformation Learning Collaboratives (TLCs) • Annex 10B Plan-Do-Study-Act Cycles of Change • Annex 10C Example of a Detailed Implementation Pathway • Notes • References

A Supplementary Tables

Target Audience:

This book will be useful to people interested in health and integrated care.

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