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This chapter discusses the dismantling and rebuilding of the Chinese health care system in recent decades. It shows that China’s reforms over the past decade have focussed on (i) reiterating the role of the government as steward; (ii) promoting policycoordination of various agencies in the sector; (iii) improving the performance public hospitals; (iv) making healthcare providers more responsive to patients’ needs. It will argue that despite these reforms, regulations controlling the quality and safety of drugs and behaviour of providers remain weak and undermine public trust.
The book assesses the policy actions of select Asian governments (China, India, Hong Kong, South Korea, Singapore and Thailand) to address critical health system functions from a policy design perspective. The findings show that all governments in the region have made tremendous strides in focussing their attention on the core issues and, especially, the interactions among them. However, there is still insufficient appreciation of the usefulness of public hospitals and their efficient management. Similarly, some governments have not made sufficient efforts to establish an effective regulatory framework which is especially vital in systems with a large share of private providers and payers. A well-run public hospital system and an effective framework for regulating private providers are essential tools to support the governance, financing, and payment reforms underway in the six health systems studied in this book.