G2TT
来源类型Report
规范类型报告
来源IDRR-600-1-AETNA
The Role of Health Care Transformation for the Chinese Dream: Powering Economic Growth, Promoting a Harmonious Society
Soeren Mattke; Harry H. Liu; Lauren E. Hunter; Kun Gu; Sydne Newberry
发表日期2014-08-29
出版年2014
语种英语
结论

China's Economic and Social Progress over the Past 50 Years Has Outpaced Its Health Care System

  • The health of China's population is being influenced simultaneously by its rapid rate of aging, growing wealth, and migration from rural to urban living, as well as by greater reliance on food of low nutritional value and decreased physical activity.
  • The result is an expanding burden of chronic disease and disability, even as mortality due to acute illness wanes.

The Current System Has Several Handicaps

  • China faces a severe workforce shortage, especially of nurses.
  • There is overreliance on hospital-based care.
  • Health information technology is not up to date.
  • While the central government is investing substantial resources, the limited absorptive capacity of the current system makes it difficult to expand capacity fast enough to meet expected demand, at least with traditional delivery models.

This Challenge Can Be Made into an Opportunity

  • Health care can be restructured as a cornerstone of a knowledge-based economy.
  • Access to high-quality and affordable health care can stimulate domestic consumption by unlocking household savings set aside for health care expenditures.
  • Successful adoption of an innovative and sustainable system will enable China to export health system development capabilities.
  • China does not face the same entrenched interests and obstacles that other nations do in creating an innovative health care system.

Western Models Offer Cautionary Lessons for China

  • Western countries do not invest sufficiently in interoperable information technology.
  • Countries do not engage in significant performance monitoring and improvement.
  • Incentives for physicians are not aligned with desired outcomes, resulting in ineffective and inefficient health care delivery systems.
  • Consumers are not sufficiently engaged in their own care.
摘要

After having successfully expanded health insurance coverage, China now faces the challenge of building an effective and efficient delivery system to serve its large and aging population. The country finds itself at a crossroads — it can emulate the models of Western countries with their well-known limitations, or embark on an ambitious endeavor to create an innovative and sustainable model. We recommend that China choose the second option and design and implement a health care system based on population health management principles and sophisticated health information technology. Taking this path could yield a triple dividend for China: Health care will contribute to the growth of service sector employment, stimulate domestic demand by unlocking savings, and enable China to export its health system development capabilities to other emerging economies, mirroring its success in building other critical infrastructure. These forces can help turn the Chinese Dream into a reality.

目录
  • Chapter One

    The Policy Argument for Rethinking Health Care in China

  • Chapter Two

    Designing and Implementing an Innovative Model for Organizing and Delivering Health Care Can Turn This Challenge into an Opportunity

  • Chapter Three

    The "Western-Style" Health Care Model Offers Cautionary Lessons for China

  • Chapter Four

    Fast-Growing Economies Like China's Have a Unique Opportunity to Implement Innovative Health Care Systems

  • Chapter Five

    Adopting Population Health Management Can Propel China to World-Class Health Care

  • Chapter Six

    Conclusions

主题China ; Health Care Organization and Administration ; Health Care Reform ; Health Information Technology
URLhttps://www.rand.org/pubs/research_reports/RR600-1.html
来源智库RAND Corporation (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/522554
推荐引用方式
GB/T 7714
Soeren Mattke,Harry H. Liu,Lauren E. Hunter,et al. The Role of Health Care Transformation for the Chinese Dream: Powering Economic Growth, Promoting a Harmonious Society. 2014.
条目包含的文件
文件名称/大小 资源类型 版本类型 开放类型 使用许可
RAND_RR600-1.pdf(2517KB)智库出版物 限制开放CC BY-NC-SA浏览
x1495316279325.jpg.p(3KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Soeren Mattke]的文章
[Harry H. Liu]的文章
[Lauren E. Hunter]的文章
百度学术
百度学术中相似的文章
[Soeren Mattke]的文章
[Harry H. Liu]的文章
[Lauren E. Hunter]的文章
必应学术
必应学术中相似的文章
[Soeren Mattke]的文章
[Harry H. Liu]的文章
[Lauren E. Hunter]的文章
相关权益政策
暂无数据
收藏/分享
文件名: RAND_RR600-1.pdf
格式: Adobe PDF
此文件暂不支持浏览
文件名: x1495316279325.jpg.pagespeed.ic.zI8EirUC0J.jpg
格式: JPEG

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。