Ten years into China's multi-billion dollar investment in health-care reform, the country has made "spectacular" progress on some top public health challenges — including insurance coverage and deaths of children. But it's facing an uphill battle on others, including second-hand smoke and cancer, according to a special China-themed issue on September 28 of the journal The Lancet.
In the collection of nine peer-reviewed studies, commentaries, editorials and reviews of literature, researchers from academic institutions in Beijing and other areas of China, as well as the U.S. and Germany, found the country is making headway in reducing the incidence of infectious diseases like diarrhea and respiratory illnesses among its 1.3 billion citizens. They also found that China has dramatically increased the share of its population receiving insurance coverage for basic health care, up to 96%.
System challenges include: the suboptimal education and training of primary health-care practitioners, a fee-for-service payment system that incentivises testing and treatments over prevention, fragmentation of clinical care and public health service, and insufficient continuity of care throughout the entire health-care system.