• Carine Milcent


This book aims at presenting the Chinese healthcare system and its latest reforms. Chapter  2 presents the specific definition of a health good and its implications. Then, in Chap.  3, the general landscape of healthcare in China is described. Chapter  4 focuses on public hospitals and their evolution, while Chap.  5 analyzes the status and actual situation of medical staff. As a thread throughout these chapters, inefficiencies in the system tend to appear, as do the current reforms aimed at dealing with them. Public insurance plans implemented over the past two decades are discussed in Chap.  6. The medical drug market is presented in Chap.  7 and the determinants of the phenomenon of violence affecting Chinese hospitals are described, through the relationship between the patient or patient’s relatives and medical staff, in Chap.  8. Chapter  9 delves deeply into the development of digital healthcare in China and how it can solve inefficiencies in the hospital system. The concluding chapter (Chap.  10) offers a vision of the future directions that the Chinese social model could take, based on the observations in previous chapters of current reforms and experiments.


Healthcare in China Insurance Medical staff Public hospitals Medical drug market Digital healthcare 


  1. Akin, John S., William H. Dow, Peter M. Lance, and Chung-Ping A. Loh, “Changes in Access to Health Care in China, 1989–1997,” Health Policy and Planning, Vol. 20, No. 2, 2005, pp. 80–89.CrossRefGoogle Scholar
  2. Barber, Sarah L., and Lan Yao, “Development and Status of Health Insurance Systems in China,” The International Journal of Health Planning and Management, Vol. 26, No. 4, 2011, pp. 339–356.CrossRefGoogle Scholar
  3. Hesketh, Therese, Dan Wu, Linan Mao, and Nan Ma, “Violence Against Doctors in China,” The British Medical Journal Clinical Research, No. 345, 2012, pp. 1–5.Google Scholar
  4. Leung, Joe C.B., and Yuebin Xui, China’s Social Welfare, Cambridge, UK and Malden, MA: Polity Press, 2015.Google Scholar
  5. Liu, Hong, Song Gao, and John A. Rizzo, “The Expansion of Public Health Insurance and the Demand for Private Health Insurance in Rural China,” China Economic Review, Vol. 22, No. 1, 2011, pp. 28–41.CrossRefGoogle Scholar
  6. Moe, Jeffrey, Shu Chen, and Andrea Taylor, “Initial Findings in a Landscaping Study of Healthcare Delivery Innovation in China,” IPIHD (International Partnership for Innovative Healthcare Delivery) Research Report 14-01, 2014.Google Scholar
  7. Qin, Xuezheng, Lixing Li, and Chee-Ruey Hsieh, “Too Few Doctors or Too Low Wages? Labor Supply of Healthcare Professionals in China,” China Economic Review, Vol. 24, No. 1, 2013.Google Scholar
  8. Qingyue, Meng, and Tang Shenglan, “Universal Health Care Coverage in China: Challenges and Opportunities,” Procedia—Social and Behavioral Sciences, Vol. 77, 2013, pp. 330–340.CrossRefGoogle Scholar
  9. Reynolds, Lucy, and Martin McKee, “Factors Influencing Antibiotic Prescribing in China: An Exploratory Analysis,” Health Policy, Vol. 90, No. 1, 2009, pp. 32–36.CrossRefGoogle Scholar
  10. Shi, Li, Hiroshi Sato, and Terry Sicular (eds.), Rising Inequality in China: Challenges to a Harmonious Society, Cambridge: Cambridge University Press, 2015.Google Scholar
  11. Tu, Jiong, “Yinao: Protest and Violence in China’s Medical Sector,” Berkeley Journal of Sociology, 11 December 2014, Accessed 26 October 2016.
  12. Wang, Hufeng, “A Dilemma of Chinese Healthcare Reform: How to Re-define Government Roles?” China Economic Review, Vol. 20, No. 4, 2009, pp. 598–604.Google Scholar
  13. Wang, S., “Conquering Poverty while in the Midst of Developing the Nation,” In M. Wang (ed.), Thirty Years of China’s Reform, London: Routledge, 2012, pp. 476–512.Google Scholar
  14. Wang, Hufeng, Michael K. Gusmano, and Qi Cao, “An Evaluation of the Policy on Community Health Organizations in China: Will the Priority of New Healthcare Reform in China be a Success?” Health Policy, Vol. 99, No. 1, 2011, pp. 37–43.CrossRefGoogle Scholar
  15. Xu, Xin, and Rongrong Lu, Baoli yu buxinren: zhuanxing Zhongguo de yiliao baoli yanjiu: 2000–2006 (Violence and Mistrust: Research on Violence in Medical Treatment in Transforming China [2000–2006]). Fazhi yu shehui fazhan (Law and Social Development), No. 1, 2008, pp. 82–101.Google Scholar
  16. Yang, Lianping, Chaojie Liu, J. Adamm Ferrier, Wei Zhou, and Xinping Zhang, “The Impact of the National Medicines Policy on Prescribing Behaviours in Primary Care Facilities in Hubei Province of China,” Health Policy Plan, Vol. 28, No. 7, 2013, pp. 750–760.CrossRefGoogle Scholar
  17. Zhang, Xinqing, and Margaret Sleeboom-Faulkner, “Tensions between Medical Professionals and Patients in Mainland China,” Cambridge Quarterly of Healthcare Ethics, Vol. 20, No. 3, 2011, pp. 458–465.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2018

Authors and Affiliations

  • Carine Milcent
    • 1
  1. 1.CNRS and Paris School of Economics (PSE)ParisFrance

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