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Health System Reform in China 1 Tackling the challenges to health equity in China

Tang, Shenglan, Meng, Q. Y., Chen, L., Bekedam, H., Evans, T. and Whitehead, M. (2008) 'Health System Reform in China 1 Tackling the challenges to health equity in China'. Lancet, Vol 372, Issue 9648, pp. 1493-1501.

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Abstract

In terms of economic development, China is widely acclaimed as a miracle economy. Over a period of rapid economic growth, however, China's reputation for health has been slipping. In the 1970s China was a shining example of health development, but no longer. Government and public concerns about health equity have grown. China's health-equity challenges are truly daunting because of a vicious cycle of three synergistic factors: the social determinants of health have become more inequitable; imbalances in the roles of the market and government have developed; and concerns among the public have grown about fairness in health. With economic boom and growing government revenues, China is unlike other countries challenged by health inequities and can afford the necessary reforms so that economic development goes hand-in-hand with improved health equity. Reforms to improve health equity will receive immense popular support, governmental commitment, and interest from the public-health community worldwide.

Item Type: Article
Uncontrolled Keywords: rural china poor countries tb services mortality access
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas
WA Public Health > WA 20.5 Research (General)
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
Digital Object Identifer (DOI): https://doi.org/10.1016/S0140-6736(08)61364-1
Depositing User: Faye Moody
Date Deposited: 15 Jul 2010 14:56
Last Modified: 02 Mar 2018 12:07
URI: https://archive.lstmed.ac.uk/id/eprint/930

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