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The development of urban community health centres for strengthening primary care in China: a systematic literature review.

Wang, Harry H X; Wang, Jia Ji; Wong, Samuel Y S; Wong, Martin C S; Mercer, Stewart W; Griffiths, Sian M.
Br Med Bull; 116: 139-53, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26582539


This review outlines the development of China's primary care system, with implications for improving equitable health care.SOURCES OF DATA: Government documents, official statistics, and recent literature identified through systematic searches performed on NCBI PubMed.AREAS OF AGREEMENT: Community health centres (CHCs) are being developed as the major primary care provider in urban China, with laudable achievements. The road towards a strong primary care-led system is promising but challenging.AREAS OF CONTROVERSY: The effectiveness in improving equitable care through the expansion of primary care workforce and redesign of the social medical insurance system warrants further exploration.GROWING POINTS: Healthcare disparities exist in the health system wherein universal health coverage and gatekeepers have not yet been established. AREAS TIMELY FOR DEVELOPING RESEARCH: Future prospective studies should aim to provide solutions for strengthening the leading role of CHCs in providing equitable care in response to population ageing and multimorbidity challenges.
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