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Academic Journal of Medicine & Health Sciences, 2023, 4(9); doi: 10.25236/AJMHS.2023.040903.

Challenges and Progressions towards Universal Health System and Healthcare System in China: A Literature Review


Yuan Yao

Corresponding Author:
Yuan Yao

Faculty of Medicine, University of Queensland, Brisbane, Australia


Universal health coverage (UHC) desires to deliver affordable and equitable access to preventive, curative and rehabilitative health services for the public. Chinese governments have emphasized the concept of health for all and have undertaken health system reform. This review will explore the strengths and weaknesses of China’s health system based on six building blocks of the health system. Up-to-date studies have analysed governance, health services, health delivery, financing, information system and access to medical technology and products. Chinese health system assists health expenditure and expand insurance coverage in recent years. An increasing amount of health programmes aim to improve the accessibility of health services for people in remote China. However, medical practitioners with low education level in county hospitals ineffectively deliver health services. The lack of health technology has worsened the health conditions in economically disadvantaged areas in China. China’s health system reform is in progression with improvements in policy reform, insurance coverage, technology development and health financing. Health service, workforce and delivery are significant issues in remote areas of China. It is not enough to deliver free health programmes, residents in rural areas are required to raise health awareness and modify the misconceptions on health.


Universal health coverage, Health system, Health services, Health workforce, Governance, Health Equity, Primary health care

Cite This Paper

Yuan Yao. Challenges and Progressions towards Universal Health System and Healthcare System in China: A Literature Review. Academic Journal of Medicine & Health Sciences (2023) Vol. 4, Issue 9: 15-21. https://doi.org/10.25236/AJMHS.2023.040903.


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