X DEEPENING HEALTH REFORM IN CHINA coordination,which provides strong institu- This report focuses not only on the top- tional guarantee for the reforms. level design for reform;it also addresses the In July 2014 in Beijing,the Chinese gov- important question of how to make reform ernment,the World Bank Group and the work on the ground.It builds on exten- World Health Organization committed to sive analysis of literature and case studies working together on a joint health reform from high-and middle-income countries, study with an aim to further improve the as well as on ongoing innovations in China policy formulation and to deepen the health that offer lessons and experiences for bring- reform.This report,Deepening Health ing about desired change.The report draws Reform in China,is the outcome of this joint upon cutting-edge thinking about science study.Following the successful model of pre- of delivery that can help scaling up health vious flagship reports such as China 2030 reforms-from prefecture to province,and and Urban China,this report offers a blue- ultimately,nationwide. print for further reforms in China's health Our hope is that this report will provide sector. the research,analysis and insight to help cen- The report's main theme is the need for tral and local authorities plan and execute China to transition its health care delivery major restructuring of the healthcare deliv- system toward people-centered,high quality, ery system in China during the 13th five-year integrated care built on the foundation of a development planning period.Getting this strong primary health care system.This sys- reform right is crucial to China's social and tem offers both better health care for its citi- economic success in the coming decades.We zens as well as better value for its economy. believe that China's experience with health The report offers a comprehensive set of eight service delivery reform carries many lessons interlinked recommendations that can pre- for other countries,and we hope this report pare the Chinese health system for the demo- can also contribute to a global knowledge graphic and health challenges it faces. base on health reform. 接伟 考趴 LOU Jiwei,Minister LI Bin,Minister YIN Weimin,Minister Ministry of Finance National Health and Ministry of Human P.R.C. Family Planning Commission Resources and Social Security P.R.C. P.R.C. M人 im Yong Kim Margaret Chan President Director-General The World Bank Group World Health Organizationx DEEPENING HEALTH REFORM IN CHINA coordination, which provides strong institu￾tional guarantee for the reforms. In July 2014 in Beijing, the Chinese gov￾ernment, the World Bank Group and the World Health Organization committed to working together on a joint health reform study with an aim to further improve the policy formulation and to deepen the health reform. This report, Deepening Health Reform in China, is the outcome of this joint study. Following the successful model of pre￾vious flagship reports such as China 2030 and Urban China, this report offers a blue￾print for further reforms in China’s health sector. The report’s main theme is the need for China to transition its health care delivery system toward people-centered, high quality, integrated care built on the foundation of a strong primary health care system. This sys￾tem offers both better health care for its citi￾zens as well as better value for its economy. The report offers a comprehensive set of eight interlinked recommendations that can pre￾pare the Chinese health system for the demo￾graphic and health challenges it faces. This report focuses not only on the top￾level design for reform; it also addresses the important question of how to make reform work on the ground. It builds on exten￾sive analysis of literature and case studies from high- and middle-income countries, as well as on ongoing innovations in China that offer lessons and experiences for bring￾ing about desired change. The report draws upon cutting-edge thinking about science of delivery that can help scaling up health reforms—from prefecture to province, and ultimately, nationwide. Our hope is that this report will provide the research, analysis and insight to help cen￾tral and local authorities plan and execute major restructuring of the healthcare deliv￾ery system in China during the 13th five-year development planning period. Getting this reform right is crucial to China’s social and economic success in the coming decades. We believe that China’s experience with health service delivery reform carries many lessons for other countries, and we hope this report can also contribute to a global knowledge base on health reform. LOU Jiwei, Minister Ministry of Finance P.R.C. Jim Yong Kim President The World Bank Group Margaret Chan Director-General World Health Organization LI Bin, Minister National Health and Family Planning Commission P.R.C. YIN Weimin, Minister Ministry of Human Resources and Social Security P.R.C