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This does not identify one actor as holding every operational decision.", "tags": [], "territory": "China", "title": "National policy direction with subnational implementation", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.mof.gov.cn/zhengwuxinxi/zhengcefabu/201509/t20150911_1458121.htm" }, { "kind": "source_reference", "source": "China: Health system review", "url": "https://iris.who.int/server/api/core/bitstreams/2c8ad173-e3e4-4f9c-b756-9d05938d8808/content" } ] }, { "analytical_mapping": { "mapping_basis": "source-linked official statistics and WHO review", "mapping_group": "actors_and_functions", "mapping_id": "candidate-mapping:CHN:actors-functions:provider-sectors-and-institution-count-boundary", "source_projection_ids": [ "country-improvement-source:CHN:nhc-statistical-bulletin-2023", "country-improvement-source:CHN:who-health-system-review-2015" ], "support_state": "candidate_supported", "target_slot": "provider-sector-description-and-count-boundary", "target_view": "public-private", "typed_fields": { "boundary": "Counts alone do not establish delivery dominance, control or market concentration.", "data": "The NHC bulletin reports institution and service counts by type.", "providers": "The review describes public and non-public provider sectors." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National Health Commission. China Health Care Development Statistical Bulletin 2023. https://www.nhc.gov.cn/cms-search/downFiles/58c5d1e9876344e5b1aa5aa2b083a51a.pdf | WHO. China: Health system review. 2015.", "country_ids": [ "CHN" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "market_structure", "ownership", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "health institutions and their beds", "institution": null, "locator": { "description": "NHC 2023, Health resources and Medical service; WHO 2015, Provision of services." }, "material_id": "material:233ffddf590cbad1be41984c", "notes": [ "Keep institution-count denominators visible; do not make a delivery-dominance claim." ], "origin": "candidate-analytical-mappings", "period": "2023 statistics and 2015 review", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "21cad68906d443ff9a170b41b8da3f395df17c078933078270e6113964f104ea", "response_sha256": "21cad68906d443ff9a170b41b8da3f395df17c078933078270e6113964f104ea" }, "statement": "National statistics report institution and service counts while the WHO review describes public and non-public provider sectors. Facility counts alone are not evidence of which sector dominates care delivery.", "tags": [], "territory": "China", "title": "Provider sectors and institutional-count boundary", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.nhc.gov.cn/cms-search/downFiles/58c5d1e9876344e5b1aa5aa2b083a51a.pdf" }, { "kind": "source_reference", "source": "China: Health system review", "url": "https://iris.who.int/server/api/core/bitstreams/2c8ad173-e3e4-4f9c-b756-9d05938d8808/content" } ] }, { "analytical_mapping": { "mapping_basis": "source-linked 2021 policy and 2016 reform synthesis", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:CHN:time-reform:public-hospital-development-and-integration-context", "source_projection_ids": [ "country-improvement-source:CHN:state-council-public-hospitals-2021", "country-improvement-source:CHN:world-bank-who-reform-2016" ], "support_state": "candidate_supported", "target_slot": "public-hospital-development-and-integration-context", "target_view": "reforms", "typed_fields": { "2016": "Reform synthesis presented an integrated people-centred delivery direction.", "2021": "Public-hospital policy set a later governance and development direction.", "boundary": "Neither source provides a current national implementation scorecard." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Group and WHO. Deepening Health Reform in China. 2016. https://documents1.worldbank.org/curated/en/800911469159433307/pdf/107176-REVISED-PUBLIC-ENGLISH-Health-Reform-In-China-Policy-Summary-Oct-reprint-ENG.pdf | State Council. 2021 public hospital policy. https://app.www.gov.cn/govdata/gov/202106/04/472107/article.html", "country_ids": [ "CHN" ], "coverage_domains": [ "authoritative_review", "autonomy", "decision_rights", "governance", "hospital_organization", "market_structure", "networks", "primary_care", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "integrated people-centred service delivery model", "institution": null, "locator": { "description": "World Bank and WHO 2016, Service delivery; State Council 2021, Guiding opinions." }, "material_id": "material:59d11caf4d17d09860d82fa8", "notes": [ "Keep policy synthesis and formal policy distinct from observed implementation." ], "origin": "candidate-analytical-mappings", "period": "2016 and 2021", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "491c7578489e93ead2ca01ce4fb81edebec02a23aba4d4c9b79a3a1ffc8f3102" }, "statement": "The 2016 reform synthesis and 2021 public-hospital policy describe successive reform directions for integration and public-hospital governance. They should not be read as a national implementation scorecard.", "tags": [], "territory": "China", "title": "Public-hospital development and integration reform context", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/800911469159433307/pdf/107176-REVISED-PUBLIC-ENGLISH-Health-Reform-In-China-Policy-Summary-Oct-reprint-ENG.pdf" }, { "kind": "source_reference", "source": "Guiding opinions on promoting high-quality development of public hospitals", "url": "https://app.www.gov.cn/govdata/gov/202106/04/472107/article.html" } ] }, { "analytical_mapping": { "mapping_basis": "source-linked public-hospital policy and historical review", "mapping_group": "decision_rights_and_autonomy", "mapping_id": "candidate-mapping:CHN:decision-autonomy:public-hospital-autonomy-boundary", "source_projection_ids": [ "country-improvement-source:CHN:state-council-public-hospitals-2021", "country-improvement-source:CHN:who-health-system-review-2015" ], "support_state": "candidate_supported", "target_slot": "public-hospital-autonomy-and-accountability-boundary", "target_view": "autonomy", "typed_fields": { "boundary": "No current comparable national autonomy score is derived.", "formal_design": "Public-hospital policy addresses governance, management and accountability." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "State Council. 2021 public hospital policy. https://app.www.gov.cn/govdata/gov/202106/04/472107/article.html | WHO. China: Health system review. 2015.", "country_ids": [ "CHN" ], "coverage_domains": [ "authoritative_review", "autonomy", "decision_rights", "governance", "hospital_organization", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "promote the high-quality development of public hospitals", "institution": null, "locator": { "description": "State Council 2021, Reform tasks; WHO 2015, Organization and governance." }, "material_id": "material:cedfcae166f943b904db766f", "notes": [ "Display the gap rather than attaching a High, Medium or Low autonomy label." ], "origin": "candidate-analytical-mappings", "period": "2021 policy with 2015 context", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "491c7578489e93ead2ca01ce4fb81edebec02a23aba4d4c9b79a3a1ffc8f3102" }, "statement": "Public-hospital reform policy connects management reforms with accountability, but the supplied evidence does not support one current national autonomy score for all public hospitals.", "tags": [], "territory": "China public hospitals", "title": "Public-hospital policy does not yield a uniform autonomy score", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://app.www.gov.cn/govdata/gov/202106/04/472107/article.html" }, { "kind": "source_reference", "source": "China: Health system review", "url": "https://iris.who.int/server/api/core/bitstreams/2c8ad173-e3e4-4f9c-b756-9d05938d8808/content" } ] }, { "analytical_mapping": { "mapping_basis": "source-linked dated State Council policies", "mapping_group": "time_and_reform", "mapping_id": "candidate-mapping:CHN:time-reform:tiered-diagnosis-and-medical-alliance-sequence", "source_projection_ids": [ "country-improvement-source:CHN:state-council-tiered-diagnosis-2015", "country-improvement-source:CHN:state-council-medical-alliances-2017" ], "support_state": "candidate_supported", "target_slot": "tiered-diagnosis-and-medical-alliance-policy-sequence", "target_view": "reforms", "typed_fields": { "2015": "Tiered diagnosis policy created a formal pathway framework.", "2017": "Medical-alliances policy specified network forms.", "boundary": "Policy dates are not implementation or outcome dates." } }, "annotation_status": "open", "authors": [], "availability": {}, "citation": "State Council. 2015 tiered diagnosis policy. https://www.mof.gov.cn/zhengwuxinxi/zhengcefabu/201509/t20150911_1458121.htm | State Council General Office. 2017 medical alliances policy. https://app.www.gov.cn/govdata/gov/201704/26/403624/article.html", "country_ids": [ "CHN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "promote the construction and development of medical alliances", "institution": null, "locator": { "description": "State Council 2015 and State Council General Office 2017 guiding opinions." }, "material_id": "material:7caba66bdecc454943d3c0b7", "notes": [ "Do not infer implementation timing or observed effect from policy publication dates." ], "origin": "candidate-analytical-mappings", "period": "2015 and 2017", "publication_date": null, "publication_year": null, "record_kind": "candidate_analytical_mapping", "record_kind_label": "Candidate Analytical Mapping", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "eca35bc78fd8089139359069942ee8718077101a632dd4edb63b41aea6ea76e9" }, "statement": "The 2015 tiered-diagnosis policy preceded the 2017 medical-alliances policy. The dated sequence establishes formal policy change, not national implementation or patient-outcome effects.", "tags": [], "territory": "China", "title": "Tiered diagnosis and medical-alliance policy sequence", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://app.www.gov.cn/govdata/gov/201704/26/403624/article.html" }, { "kind": "source_reference", "source": "Guiding opinions on promoting construction of a tiered diagnosis and treatment system", "url": "https://www.mof.gov.cn/zhengwuxinxi/zhengcefabu/201509/t20150911_1458121.htm" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "China Health Reform Program. 2022. https://documents1.worldbank.org/curated/en/099715009072240377/pdf/P15498400f666b0fe0b4e102eda3c29294f.pdf", "country_ids": [ "CHN" ], "coverage_domains": [], "display_status": "shown_in_full", "document_type": null, "evidence_mode": null, "excerpt": "change held that improving governance and accountability the use of standardized clinical", "institution": null, "locator": { "physical_pdf_page": 9, "source_word_anchor": "change held that improving governance and accountability the use of standardized clinical", "source_word_count": 12 }, "material_id": "material:9c2c65e13d11971fd0f58bce", "notes": [], "origin": "global-corpus-excerpt-queue", "period": null, "publication_date": null, "publication_year": 2022, "record_kind": "corpus_page_anchor", "record_kind_label": "Corpus Page Anchor", "screening": { "previous_boundary_detected": true, "previous_visibility": "previously_not_projected" }, "source_layers": [], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "4434f7bb6f7325ece4c18b70212b5f0c703190b23a86a070ef6b1dd3ba1a459e", "page_count": 20, "text_sha256": "b4571d10edab5ead1343406ff4c5b8fa46b36fb93ceeca531b16c19b4a3d3fa9" }, "statement": null, "tags": [ "control_knob:organization", "language:en", "source:World Bank Documents and Reports", "source_layer:global_literature" ], "territory": null, "title": "China Health Reform Program", "urls": [ { "kind": "stable_source_url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/099715009072240377/pdf/P15498400f666b0fe0b4e102eda3c29294f.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Li Y, et al. 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This is observed survey-based utilization in the study population, not a national referral-completion rate or evidence that the formal tiered pathway does not operate anywhere.", "tags": [], "territory": "China older-adult survey sample in the study", "title": "Bypassing primary care facilities among older adults in China", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8406824/" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "National Health Commission of the People's Republic of China. China Health Care Development Statistical Bulletin 2023. https://www.nhc.gov.cn/cms-search/downFiles/58c5d1e9876344e5b1aa5aa2b083a51a.pdf", "country_ids": [ "CHN" ], "coverage_domains": [ "authoritative_review", "facility_data", "hospital_organization", "market_structure", "ownership", "primary_care", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "health institutions and their beds", "institution": "National Health Commission of the People's Republic of China", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "health institutions and their beds", "source_word_count": 5 }, "material_id": "material:2b244a89671b7b5082113d25", "notes": [ "Display denominators and do not recast institution counts as proof of delivery dominance." ], "origin": "country-evidence-improvement-sources", "period": "2023 reporting year; bulletin published 2024", "publication_date": null, "publication_year": 2024, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "21cad68906d443ff9a170b41b8da3f395df17c078933078270e6113964f104ea", "response_sha256": "21cad68906d443ff9a170b41b8da3f395df17c078933078270e6113964f104ea" }, "statement": "The bulletin reports counts of health institutions and service activity by institution type. Institution counts do not by themselves establish provider ownership control, service-delivery dominance, patient pathways or market concentration.", "tags": [], "territory": "China national statistical reporting", "title": "China Health Care Development Statistical Bulletin 2023", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.nhc.gov.cn/cms-search/downFiles/58c5d1e9876344e5b1aa5aa2b083a51a.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Independent Evaluation Group. China Health Reform Program (P154984): Implementation Completion Report Review. 2022. https://documents1.worldbank.org/curated/en/099715009072240377/pdf/P15498400f666b0fe0b4e102eda3c29294f.pdf", "country_ids": [ "CHN" ], "coverage_domains": [ "authoritative_review", "governance", "hospital_organization", "networks", "primary_care", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "County Integrated Delivery System has been scaled up", "institution": "World Bank Independent Evaluation Group", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "The County Integrated Delivery System has been scaled up", "source_word_count": 9 }, "material_id": "material:9091fb7cddcb48ebba063e41", "notes": [ "Keep Anhui and Fujian explicit. 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This is a two-province program finding, not national network coverage or a nationwide referral-completion measure.", "tags": [], "territory": "Anhui and Fujian provinces in China; program scope only", "title": "China Health Reform Program: Implementation Completion Report Review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/099715009072240377/pdf/P15498400f666b0fe0b4e102eda3c29294f.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Jia L, et al. 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China: Health system review. 2015. https://iris.who.int/server/api/core/bitstreams/2c8ad173-e3e4-4f9c-b756-9d05938d8808/content", "country_ids": [ "CHN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "facility_data", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "health care is provided by public and private providers", "institution": "World Health Organization Regional Office for the Western Pacific", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "health care is provided by public and private providers", "source_word_count": 9 }, "material_id": "material:3ce44fec816047f43f9ced18", "notes": [ "Keep the 2015 date and descriptive nature visible; do not treat it as a current ownership or autonomy census." ], "origin": "country-evidence-improvement-sources", "period": "2015 review; historical system context", "publication_date": null, "publication_year": 2015, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "review_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "e87ef65e5f340a5af2a1461e29f0c069f8bdfcf696cfbec5a6d2f47ae5e9dad6", "response_sha256": "e87ef65e5f340a5af2a1461e29f0c069f8bdfcf696cfbec5a6d2f47ae5e9dad6" }, "statement": "The WHO review describes a system with central policy direction, subnational implementation and a mixed set of public and non-public providers. It is historical descriptive context rather than a current facility-level authority register or observed-flow dataset.", "tags": [], "territory": "China national health-system description", "title": "China: Health system review", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://iris.who.int/server/api/core/bitstreams/2c8ad173-e3e4-4f9c-b756-9d05938d8808/content" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "World Bank Group, World Health Organization, Ministry of Finance, National Health and Family Planning Commission and Ministry of Human Resources and Social Security. Deepening Health Reform in China. 2016. https://documents1.worldbank.org/curated/en/800911469159433307/pdf/107176-REVISED-PUBLIC-ENGLISH-Health-Reform-In-China-Policy-Summary-Oct-reprint-ENG.pdf", "country_ids": [ "CHN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "market_structure", "networks", "ownership", "patient_flows", "primary_care", "referral_design", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "integrated people-centred service delivery model", "institution": "World Bank Group and World Health Organization", "locator": { "locator_type": "pdf_page_anchor", "source_word_anchor": "integrated people-centred service delivery model", "source_word_count": 5 }, "material_id": "material:8ea75cc079c7aaa34e043937", "notes": [ "Separate recommendations and historical policy analysis from later observed implementation." ], "origin": "country-evidence-improvement-sources", "period": "2016 policy summary; reform recommendation and contextual synthesis", "publication_date": null, "publication_year": 2016, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "grey_literature" ], "source_system": null, "source_version": { "detected_media_type": "application/pdf", "file_sha256": "5fd15d04fd8e20ad31bdba5abe6d68561d94d43b8d1068773e83c123d58a6a7e", "response_sha256": "5fd15d04fd8e20ad31bdba5abe6d68561d94d43b8d1068773e83c123d58a6a7e" }, "statement": "The report identifies service-delivery fragmentation and recommends an integrated people-centred delivery model that strengthens primary care and provider networks. Recommendations and diagnosis are not proof of uniform later implementation.", "tags": [], "territory": "China national reform-policy synthesis", "title": "Deepening Health Reform in China: Building High-Quality and Value-Based Service Delivery", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://documents1.worldbank.org/curated/en/800911469159433307/pdf/107176-REVISED-PUBLIC-ENGLISH-Health-Reform-In-China-Policy-Summary-Oct-reprint-ENG.pdf" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "State Council of the People's Republic of China. Guiding opinions on promoting construction of a tiered diagnosis and treatment system. 2015. https://www.mof.gov.cn/zhengwuxinxi/zhengcefabu/201509/t20150911_1458121.htm", "country_ids": [ "CHN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "networks", "patient_flows", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "establish a tiered diagnosis and treatment system", "institution": "State Council of the People's Republic of China", "locator": { "locator_type": "html_text_anchor", "source_word_anchor": "establish a tiered diagnosis and treatment system", "source_word_count": 7 }, "material_id": "material:a146000f5988e1ad5d8b8aa1", "notes": [ "Treat this as formal design, not evidence of referral adherence or a uniform local implementation result." ], "origin": "country-evidence-improvement-sources", "period": "2015 policy opinion", "publication_date": null, "publication_year": 2015, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "eca35bc78fd8089139359069942ee8718077101a632dd4edb63b41aea6ea76e9" }, "statement": "The State Council policy sets a formal tiered diagnosis and treatment framework, including community-first care, two-way referral and coordination between levels. It does not measure whether patients followed the intended pathway.", "tags": [], "territory": "China national policy framework; local implementation is not measured here", "title": "Guiding opinions on promoting construction of a tiered diagnosis and treatment system", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://www.mof.gov.cn/zhengwuxinxi/zhengcefabu/201509/t20150911_1458121.htm" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "State Council General Office of the People's Republic of China. Guiding opinions on promoting high-quality development of public hospitals. 2021. https://app.www.gov.cn/govdata/gov/202106/04/472107/article.html", "country_ids": [ "CHN" ], "coverage_domains": [ "actors", "authoritative_review", "autonomy", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "ownership", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "promote the high-quality development of public hospitals", "institution": "State Council General Office of the People's Republic of China", "locator": { "locator_type": "html_text_anchor", "source_word_anchor": "promote the high-quality development of public hospitals", "source_word_count": 8 }, "material_id": "material:687173a76ecb98e122c12134", "notes": [ "Do not infer a uniform national autonomy rating from public-hospital reform objectives." ], "origin": "country-evidence-improvement-sources", "period": "2021 policy opinion", "publication_date": null, "publication_year": 2021, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "491c7578489e93ead2ca01ce4fb81edebec02a23aba4d4c9b79a3a1ffc8f3102" }, "statement": "The policy frames public hospitals as public-interest institutions and links their development to governance, management and performance-accountability reforms. It does not provide a comparable national matrix of hospital decision rights.", "tags": [], "territory": "China public hospitals; implementation can vary by locality and hospital", "title": "Guiding opinions on promoting high-quality development of public hospitals", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://app.www.gov.cn/govdata/gov/202106/04/472107/article.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "State Council General Office of the People's Republic of China. Guiding opinions on promoting the construction and development of medical alliances. 2017. https://app.www.gov.cn/govdata/gov/201704/26/403624/article.html", "country_ids": [ "CHN" ], "coverage_domains": [ "actors", "authoritative_review", "decision_rights", "governance", "government_responsibilities", "hospital_organization", "networks", "ownership", "primary_care", "referral_design", "reform_history" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "formal", "excerpt": "promote the construction and development of medical alliances", "institution": "State Council General Office of the People's Republic of China", "locator": { "locator_type": "html_text_anchor", "source_word_anchor": "promote the construction and development of medical alliances", "source_word_count": 9 }, "material_id": "material:aaaf3ed1974d3ef2612c18b1", "notes": [ "Keep medical-alliance policy design separate from national observed care coordination." ], "origin": "country-evidence-improvement-sources", "period": "2017 policy opinion", "publication_date": null, "publication_year": 2017, "record_kind": "country_improvement_source_lead", "record_kind_label": "Country Improvement Source Lead", "screening": { "previous_boundary_detected": false, "previous_visibility": "previously_not_projected" }, "source_layers": [ "official" ], "source_system": null, "source_version": { "detected_media_type": "text/html", "response_sha256": "f315d73fe0aa9e32e80f9cc5489220b72347263f0aac5144dc91c3accb386ed4" }, "statement": "The policy promotes county medical communities, urban medical groups and cross-regional specialist alliances to connect hospitals and primary-level institutions. It specifies a policy architecture, not measured national integration or clinical referral completion.", "tags": [], "territory": "China national medical-alliance policy framework", "title": "Guiding opinions on promoting the construction and development of medical alliances", "urls": [ { "kind": "url", "source": "not supplied", "url": "https://app.www.gov.cn/govdata/gov/201704/26/403624/article.html" } ] }, { "analytical_mapping": {}, "annotation_status": "open", "authors": [], "availability": {}, "citation": "Cai C, Xiong S, Millett C, Xu J, Tian M, Hone T. Health and health system impacts of China's comprehensive primary healthcare reforms: a systematic review. Health Policy and Planning. 2023;38(9):1064-1078. doi:10.1093/heapol/czad058. https://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=pubmed&id=37506039&rettype=abstract&retmode=text", "country_ids": [ "CHN" ], "coverage_domains": [ "authoritative_review", "governance", "hospital_organization", "primary_care", "reform_history", "utilization" ], "display_status": "shown_in_full", "document_type": null, "evidence_mode": "reported", "excerpt": "China's health system remains largely hospital-centric", "institution": "Health Policy and Planning; indexed by PubMed, National Library of Medicine", "locator": { "locator_type": "api_text_anchor", "source_word_anchor": "China's health system remains largely hospital-centric", "source_word_count": 6 }, "material_id": "material:b244d4491aab4b14d0ae3eec", "notes": [ "Keep this as a systematic-review synthesis. 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Fixing the public hospital system in China (Vol. 2 of 2) : Main report. 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Health provider payment reforms in China : what international experience tells us (Vol. 1 of 2) : Executive summary. 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Health provider payment reforms in China : what international experience tells us (Vol. 2 of 2) : Main report. 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