Deepening health reform in China: building high-quality and value-based service delivery

China needs to further reform its health system with a number of critical steps to meet the growing health needs of the population and further control spending increases, despite impressive achievements in healthcare reform and rapid progress toward universal health coverage. These include systemic and institutional reform and innovation, adoption of a tiered service-delivery system, a return to greater reliance on community health care and less on more expensive hospital care, according to a sweeping two-year study conducted by the World Bank Group, the World Health Organization, the Ministry of Finance, the National Health and Family Planning Commission, and the Ministry of Human Resources and Social Security of China. According to the study, Deepening Health Reform in China, Building High-Quality and Value-Based Service Delivery, China has lifted more than 600 million people out of poverty in the last three decades and achieved noteworthy successes in health.

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