Early appraisal of china’s huge and complex health-care reforms


This article was written by Dr. Prof Winnie Chi-Man Yip alongside other scholars in the year 2014. The article is available in both public and global health collections.


China has made an impact towards developing comprehensive universal health coverage. This project is planned to reach its peak by the year 2020. The project was started in the year 2009 and for the past three years USD 125 billion. The china’s government is undertaking systematic reforms in the health sector. It is also financing its healthcare sector with an aim of providing primary care, prevent occurrence of diseases, redistribute both human and finance resources to regions that are poor but take development initiatives positively. It is worth commending that that china has made such a worthwhile milestone in creating nearly universal insurance coverage within a span of just 3 years. It is however difficult to ensure that this initiative is cost effective due to poor quality of services, scarcity and non-uniform distribution of healthcare providers, inefficiencies and wastes. Will china ever obtain universal health provision by 2020?


In this critique, I am going to discuss on the whether china will ever achieve its goals by the year 2020. This critique will also focus on the milestones that china has achieved since 2009. It will also focus on the setbacks on the china’s initiatives and the reasons why these setbacks have been met. China is likely to achieve universal healthcare by 2020 if it continues to grow in the same pace.  China has achieved commendable milestones but it would need to improve governance of public hospitals, institute a stronger regulatory system and to provide incentives structures for providers. China should also moderate the pace of reforms to its health care sector for providers to adapt to the system.



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