Chinese healthcare system

Résumé du document

China has recently changed its healthcare system. After the Chinese Communist Party took control of China in 1949, they created a health care system for its peasant population. For 50 years, the communist government took care of the health needs of the country. It dictated what was necessary and paid for it. The system was completely public. The central, provincial, and local governments owned, funded and ran hospitals. Medical care was provided at either no charge or very little charge to patients. The private practice of medicine disappeared, every doctors worked under the government control. Most public health services were provided through the Cooperative Medical System which was staffed by barefoot doctors with minimal basic training in Western and traditional Chinese medicine.

Extraits

[...] In the country, there are huge openings for foreign healthcare insurers to insure the people and gain a lot of money. There are different types of outcomes that can come from the Chinese healthcare system. The life expectancy of the population is 72 on average. This is low compared to the average of the Obviously, the satisfaction of users of the system is really low. On the other hand, the technology level of the country regarding healthcare is increasing a lot. The country tries to adopt the Western technologies. [...]

[...] The processes in order to be improved should be well defines, tools to measures and to manage them should be set up. These points are not particular to China, but like in every hospital of the world, a successful hospital CEO should review the process capacity, make use of bottleneck management, deal with productivity and quality issues, as well as pharmaceuticals purchasing and distribution, and of course taking care of personnel resources planning and scheduling. It is important for a hospital to be able to finance some of its own costs. [...]

[...] Moreover, as the Chinese standards of living are increasing, the demand for better services in every area of life but especially in the health care will increase, it does represent a great potential. References “Time to Honor Pledge on Rural Healthcare”, http://www.china.org.cn/english/null/117682.htm, China Daily January Blumenthal D. and Hsiao W., “Privatization and its discontents the evolving Chinese health care system”, http://www.issuesinmedicalethics.org/141ss031.html, N Eng J Med 2005; 353: 1165-1170. [...]

[...] Despite this absence of an official private healthcare system, patients can pay an additional amount of money to see a physician of their choice, at a more convenient time, or to receive individualized care. Some of these payments are official and are set by the hospital, but other payments are of the unofficial variety. The reforms done, China implemented a new healthcare system. Regarding the organization, the system resembles the country's administrative structure. Indeed, it is organized in three levels: national, provincial and local. Even if the central government's share decreased by almost the half, as we said previously, there is still a certain control of the central government on the healthcare system. [...]

[...] Chinese healthcare system China has recently changed its healthcare system. After the Chinese Communist Party took control of China in 1949, they created a health care system for its peasant population. For 50 years, the communist government took care of the health needs of the country. It dictated what was necessary and paid for it. The system was completely public. The central, provincial, and local governments owned, funded and ran hospitals. Medical care was provided at either no charge or very little charge to patients. [...]