Abstract

Abstract For a while since the inception of economic system reform programs in 1980s, China’s government investment in health was weakened. This resulted in healthcare provider’s increasing reliance on user charges for their income, poorer access to healthcare for the vulnerable population groups, and increasing socioeconomic disparities in health and healthcare. To address these problems, China initiated a series of health sector reforms since late 1990s. Our comprehensive review study has found that indeed Chinese government spending on health has been increasing in recent years, especially since 2009, when the new Healthcare Reform Plan was announced. Still, China needs to both further strengthen government investment in health and address the structural imbalances in government health financing, in order to make the overall Chinese health system more equitable and more efficient.

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