Overview of Healthcare System in China

  • Xiongying Chen
  • Xiang Qian


China is a large country with population of 1.38 billion. Before 1949, China’s healthcare condition was poor and improved a lot from 1949 to 1978 through essential free public healthcare and disease prevention and eradication of infectious disease. After economy reform occurring in China for the past almost 40 years, Chinese healthcare reform went through several different stages and achieved great success although challenges remain. Through several health insurance scheme reforms, the Chinese government has been able to cover 95% of the population with basic health insurance. Western medicine is dominated in China although traditional Chinese medicine still plays some important role in the Chinese healthcare system. Management of healthcare quality was emphasized not only by government but also by individual hospitals and various departments inside hospitals. Thirty-six state-level and 1200 regional-level medical practice quality control centers were established recently in China. The history of spinal care quality assessment in China is short, but quality metrics are important for practicing orthopedic surgeons.


Chinese healthcare China’s healthcare structure China’s medical quality control Medical education Health insurance Medical quality and safety Traditional Chinese medicine Medical insurance Hospital grading 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Xiongying Chen
    • 1
  • Xiang Qian
    • 2
  1. 1.Jackson Hospitalist ProgramJackson HospitalMontgomeryUSA
  2. 2.Anesthesiology, Preoperative and Pain MedicineStanford University School of MedicineStanfordUSA

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