世界银行健康中国深度报告深化中国的医疗给个20193413页

HEALTHYCHINARegionPacificWesternOrganizationWorldHealthDEEPENINGHEALTHREFORMINCHINABuildingHigh-QualityandValue-BasedServiceDeliveryTheWorldBankandWorldHealthOrganizationHEALTHYCHINAPartTitleHealthyChinaPartTitleHealthyChina:DeepeningHealthReforminChinaBuildingHigh-QualityandValue-BasedServiceDeliveryAcopublicationoftheWorldBankandtheWorldHealthOrganization©2019InternationalBankforReconstructionandDevelopment/TheWorldBankandWorldHealthOrganization1818HStreetNW,Washington,DC20433Telephone:[phone];Internet:(CCBY3.0IGO):Attribution—Pleasecitetheworkasfollows:WorldBankandWorldHealthOrganization.2019.HealthyChina:DeepeningHealthReforminChina:BuildingHigh-QualityandValue-BasedServiceDelivery.Washington,DC:WorldBank.doi:10.1596/978-1-4648-1263-7.License:CreativeCom-monsAttributionCCBY3.0IGOTranslations—Ifyoucreateatranslationofthiswork,pleaseaddthefollowingdisclaimeralongwiththeattribution:ThistranslationwasnotcreatedbyTheWorldBankandshouldnotbeconsideredanofficialWorldBanktranslation.TheWorldBankshallnotbeliableforanycontentorerrorinthistranslation.Adaptations—Ifyoucreateanadaptationofthiswork,pleaseaddthefollowingdisclaimeralongwiththeattribution:ThisisanadaptationofanoriginalworkbyTheWorldBank.ViewsandopinionsexpressedintheadaptationarethesoleresponsibilityoftheauthororauthorsoftheadaptationandarenotendorsedbyTheWorldBank.Third-partycontent—TheWorldBankdoesnotnecessarilyowneachcomponentofthecontentcon-tainedwithinthework.TheWorldBankthereforedoesnotwarrantthattheuseofanythird-party-ownedindividualcomponentorpartcontainedintheworkwillnotinfringeontherightsofthosethirdparties.Theriskofclaimsresultingfromsuchinfringementrestssolelywithyou.Ifyouwishtoreuseacomponentofthework,itisyourresponsibilitytodeterminewhetherpermissionisneededforthatreuseandtoobtainpermissionfromthecopyrightowner.Examplesofcomponentscaninclude,butarenotlimitedto,tables,figures,orimages.AllqueriesonrightsandlicensesshouldbeaddressedtoWorldBankPublications,TheWorldBankGroup,1818HStreetNW,Washington,DC20433,USA;e-mail:[e-mail](paper):978-1-4648-1263-7ISBN(electronic):978-1-4648-1323-8DOI:10.1596/978-1-4648-1263-7Coverdesign:DebraNaylor,NaylorDesign,Washington,DCLibraryofCongressCataloging-in-PublicationDatahasbeenrequested.HEALTHYCHINAvContentsPreface................................................................xiiiAcknowledgments.......................................................xvAbbreviations...........................................................xixExecutiveSummary...................................................1China’sHealthSystem........................................................1ReportBackgroundandStructure..............................................5TheRecommendations.......................................................6ImplementationofHealthCareReforms........................................13Notes....................................................................15Introduction.........................................................17China’sRoadtoHealthCareReform...........................................17ReportObjectivesandAudience...............................................20ReportStructure...........................................................21References................................................................241ImpressiveGains,LoomingChallenges.............................25Introduction..............................................................25China’sChangingHealthCareNeeds...........................................26HealthSystemReforminChina:ABriefOverview................................30MeetingChina’sHealthCareNeeds:KeyChallenges..............................35ImpactofSelectedPolicyChangesonHealthExpenditures..........................45Conclusion................................................................47Notes....................................................................49References................................................................502Lever1:ShapingTieredHealthCareDeliverywithPeople-CenteredIntegratedCar