Quality of primary health care in China: challenges and recommendations

Research output: Contribution to journalReview articlepeer-review

Standard

Quality of primary health care in China : challenges and recommendations. / Xi, Li; Krumholz, Harlan M; Yip, Winnie; Cheng, KK; De Maeseneer, Jan ; Meng, Qingyue ; Mossialos, Elias A ; Li, Chuang ; Lu, Jiapeng ; Sun, Meng; Zhang, Qiuli ; Roman, Dong ; Li, Liming ; Normand, Sharon-Lise T ; Peto, Richard ; Li, Jing; Wang, Zhengwu ; Yan, Hongbing ; Gao, Runlin ; Chunharas, Somsak ; Gao, Xin; Guerra, Raniero ; Ji, Huijie ; Ke, Yang ; Pan, Zhigang; Wu, Xianping ; Xiao, Shuiyuan ; Xie, Xinying ; Zhang, Yujuan ; Zhu, Jun ; Zhu, Shanzhu; Hu, Shengshou.

In: The Lancet, Vol. 395, No. 10239, 06.06.2020, p. 1802-1812.

Research output: Contribution to journalReview articlepeer-review

Harvard

Xi, L, Krumholz, HM, Yip, W, Cheng, KK, De Maeseneer, J, Meng, Q, Mossialos, EA, Li, C, Lu, J, Sun, M, Zhang, Q, Roman, D, Li, L, Normand, S-LT, Peto, R, Li, J, Wang, Z, Yan, H, Gao, R, Chunharas, S, Gao, X, Guerra, R, Ji, H, Ke, Y, Pan, Z, Wu, X, Xiao, S, Xie, X, Zhang, Y, Zhu, J, Zhu, S & Hu, S 2020, 'Quality of primary health care in China: challenges and recommendations', The Lancet, vol. 395, no. 10239, pp. 1802-1812. https://doi.org/10.1016/S0140-6736(20)30122-7

APA

Xi, L., Krumholz, H. M., Yip, W., Cheng, KK., De Maeseneer, J., Meng, Q., Mossialos, E. A., Li, C., Lu, J., Sun, M., Zhang, Q., Roman, D., Li, L., Normand, S-L. T., Peto, R., Li, J., Wang, Z., Yan, H., Gao, R., ... Hu, S. (2020). Quality of primary health care in China: challenges and recommendations. The Lancet, 395(10239), 1802-1812. https://doi.org/10.1016/S0140-6736(20)30122-7

Vancouver

Xi L, Krumholz HM, Yip W, Cheng KK, De Maeseneer J, Meng Q et al. Quality of primary health care in China: challenges and recommendations. The Lancet. 2020 Jun 6;395(10239):1802-1812. https://doi.org/10.1016/S0140-6736(20)30122-7

Author

Xi, Li ; Krumholz, Harlan M ; Yip, Winnie ; Cheng, KK ; De Maeseneer, Jan ; Meng, Qingyue ; Mossialos, Elias A ; Li, Chuang ; Lu, Jiapeng ; Sun, Meng ; Zhang, Qiuli ; Roman, Dong ; Li, Liming ; Normand, Sharon-Lise T ; Peto, Richard ; Li, Jing ; Wang, Zhengwu ; Yan, Hongbing ; Gao, Runlin ; Chunharas, Somsak ; Gao, Xin ; Guerra, Raniero ; Ji, Huijie ; Ke, Yang ; Pan, Zhigang ; Wu, Xianping ; Xiao, Shuiyuan ; Xie, Xinying ; Zhang, Yujuan ; Zhu, Jun ; Zhu, Shanzhu ; Hu, Shengshou. / Quality of primary health care in China : challenges and recommendations. In: The Lancet. 2020 ; Vol. 395, No. 10239. pp. 1802-1812.

Bibtex

@article{6c45e5fadc6e4c1e89044fe0c59356fc,
title = "Quality of primary health care in China: challenges and recommendations",
abstract = "China has substantially increased financial investment and introduced favourable policies for strengthening its primary health care system with core responsibilities in preventing and managing chronic diseases such as hypertension and emerging infectious diseases such as coronavirus disease 2019 (COVID-19). However, widespread gaps in the quality of primary health care still exist. In this Review, we aim to identify the causes for this poor quality, and provide policy recommendations. 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. The following recommendations merit consideration: (1) enhancement of the quality of training for primary health-care physicians, (2) establishment of performance accountability to incentivise high-quality and high-value care; (3) integration of clinical care with the basic public health services, and (4) strengthening of the coordination between primary health-care institutions and hospitals. Additionally, China should consider modernising its primary health-care system through the establishment of a learning health system built on digital data and innovative technologies.",
author = "Li Xi and Krumholz, {Harlan M} and Winnie Yip and KK Cheng and {De Maeseneer}, Jan and Qingyue Meng and Mossialos, {Elias A} and Chuang Li and Jiapeng Lu and Meng Sun and Qiuli Zhang and Dong Roman and Liming Li and Normand, {Sharon-Lise T} and Richard Peto and Jing Li and Zhengwu Wang and Hongbing Yan and Runlin Gao and Somsak Chunharas and Xin Gao and Raniero Guerra and Huijie Ji and Yang Ke and Zhigang Pan and Xianping Wu and Shuiyuan Xiao and Xinying Xie and Yujuan Zhang and Jun Zhu and Shanzhu Zhu and Shengshou Hu",
year = "2020",
month = jun,
day = "6",
doi = "10.1016/S0140-6736(20)30122-7",
language = "English",
volume = "395",
pages = "1802--1812",
journal = "The Lancet",
issn = "0140-6736",
publisher = "Elsevier",
number = "10239",

}

RIS

TY - JOUR

T1 - Quality of primary health care in China

T2 - challenges and recommendations

AU - Xi, Li

AU - Krumholz, Harlan M

AU - Yip, Winnie

AU - Cheng, KK

AU - De Maeseneer, Jan

AU - Meng, Qingyue

AU - Mossialos, Elias A

AU - Li, Chuang

AU - Lu, Jiapeng

AU - Sun, Meng

AU - Zhang, Qiuli

AU - Roman, Dong

AU - Li, Liming

AU - Normand, Sharon-Lise T

AU - Peto, Richard

AU - Li, Jing

AU - Wang, Zhengwu

AU - Yan, Hongbing

AU - Gao, Runlin

AU - Chunharas, Somsak

AU - Gao, Xin

AU - Guerra, Raniero

AU - Ji, Huijie

AU - Ke, Yang

AU - Pan, Zhigang

AU - Wu, Xianping

AU - Xiao, Shuiyuan

AU - Xie, Xinying

AU - Zhang, Yujuan

AU - Zhu, Jun

AU - Zhu, Shanzhu

AU - Hu, Shengshou

PY - 2020/6/6

Y1 - 2020/6/6

N2 - China has substantially increased financial investment and introduced favourable policies for strengthening its primary health care system with core responsibilities in preventing and managing chronic diseases such as hypertension and emerging infectious diseases such as coronavirus disease 2019 (COVID-19). However, widespread gaps in the quality of primary health care still exist. In this Review, we aim to identify the causes for this poor quality, and provide policy recommendations. 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. The following recommendations merit consideration: (1) enhancement of the quality of training for primary health-care physicians, (2) establishment of performance accountability to incentivise high-quality and high-value care; (3) integration of clinical care with the basic public health services, and (4) strengthening of the coordination between primary health-care institutions and hospitals. Additionally, China should consider modernising its primary health-care system through the establishment of a learning health system built on digital data and innovative technologies.

AB - China has substantially increased financial investment and introduced favourable policies for strengthening its primary health care system with core responsibilities in preventing and managing chronic diseases such as hypertension and emerging infectious diseases such as coronavirus disease 2019 (COVID-19). However, widespread gaps in the quality of primary health care still exist. In this Review, we aim to identify the causes for this poor quality, and provide policy recommendations. 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. The following recommendations merit consideration: (1) enhancement of the quality of training for primary health-care physicians, (2) establishment of performance accountability to incentivise high-quality and high-value care; (3) integration of clinical care with the basic public health services, and (4) strengthening of the coordination between primary health-care institutions and hospitals. Additionally, China should consider modernising its primary health-care system through the establishment of a learning health system built on digital data and innovative technologies.

UR - https://www.thelancet.com/journals/lancet/issue/current

U2 - 10.1016/S0140-6736(20)30122-7

DO - 10.1016/S0140-6736(20)30122-7

M3 - Review article

VL - 395

SP - 1802

EP - 1812

JO - The Lancet

JF - The Lancet

SN - 0140-6736

IS - 10239

ER -