Innovations Under the China Health Reform Program-for-Results: A Case Study Series

Publication:
Innovations Under the China Health Reform Program-for-Results: A Case Study Series

dc.contributor.author	Yang, Fang
dc.contributor.author	Han, Wei
dc.contributor.author	Mandeville, Kate
dc.date.accessioned	2023-01-07T15:43:30Z
dc.date.available	2023-01-07T15:43:30Z
dc.date.issued	2022-08
dc.description.abstract	Since 2009, China has been undertaking an ambitious program of health system reforms. Comprehensive reforms were defined in five priority areas: basic health insurance, health service delivery at grassroots level, essential public health service, an essential drugs program, and public hospital reform. After more than a decade of implementation, these reforms have led to notable achievements; however, challenges remain. The government of China tackled these health system challenges in its Thirteenth Five-Year Plan, the implementation of which was supported by a USD 600 million China Health Program-for-Results between 2018 and 2022. This was one of the first Program-for-Results financed by the World Bank in China and globally. Program-for-Results finances a subset of activities in a broader government program and uniquely links disbursement of funds directly to the achievement of specific program results rather than inputs as in traditional investment projects. In this Program-for-Results, there were three key results areas, aligned to the objectives of the government health reform program: (a) drawing on the reform model in successful pilots to deepen and mainstream comprehensive public hospital reforms; (b) strengthening primary health care services through establishing patient-centered integrated care; (c) addressing cross-cutting dimensions of the policy, institutional, and financial environment, such as information technology, to support the health reforms. This report showcases four case studies of innovations that summarize key lessons and experiences in the implementation of reforms under the Program-for-Results in the two provinces. The selected innovations are drawn across the three results areas of the Program-for-Results and shed light on tackling common health system challenges. The complexity of the health system in China and ambitious nature of its health system reforms combine to set the tone for the case studies, which provide opportunities for in-depth, multifaceted explorations of complex issues in the real-life health care settings.	en
dc.identifier	http://documents.worldbank.org/curated/en/099740012062214762/P1652041e93d73071068714c561a56b19fab2fcd481e
dc.identifier.doi	10.1596/38378
dc.identifier.uri	https://hdl.handle.net/10986/38378
dc.language	English
dc.language.iso	en_US
dc.publisher	Washington, DC: World Bank
dc.rights	CC BY 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	http://creativecommons.org/licenses/by/3.0/igo
dc.title	Innovations Under the China Health Reform Program-for-Results	en
dc.title.subtitle	A Case Study Series	en
dc.type	Report	en
dc.type	Rapport	fr
dc.type	Informe	es
dspace.entity.type	Publication
okr.crossref.title	Innovations Under the China Health Reform Program-for-Results: A Case Study Series
okr.date.disclosure	2022-12-07
okr.date.doiregistration	2025-05-07T10:37:22.065368Z
okr.date.lastmodified	2022-12-07T00:00:00Z	en
okr.doctype	Economic & Sector Work
okr.doctype	Economic & Sector Work::Other Health Study
okr.docurl	http://documents.worldbank.org/curated/en/099740012062214762/P1652041e93d73071068714c561a56b19fab2fcd481e
okr.guid	099740012062214762
okr.guid	099091502242314711
okr.identifier.externaldocumentum	P165204-e93d7307-0687-4c56-a56b-9fab2fcd481e
okr.identifier.internaldocumentum	33951386
okr.identifier.report	178353
okr.imported	true	en
okr.language.supported	en
okr.pdfurl	http://documents.worldbank.org/curated/en/099740012062214762/pdf/P1652041e93d73071068714c561a56b19fab2fcd481e.pdf	en
okr.region.administrative	East Asia and Pacific
okr.region.country	China
okr.sector	Health-HG
okr.unit	Health Nutrition &Population EAP (HEAHN)