Strategic Choices, Institutional Design, and Implementation Mechanisms of China's Health Care Reform

With the continuous increases in residents' health needs and the urgent need to solve the problems of medical treatment, medical reform in China has become a key measure to promote the construction of Health China and improve national governance capabilities. It is of academic and practical significance to systematically sort out the logical framework and practical results of healthcare reform in China. In this study, a logical pipeline of "Tao, Principle and Tactics" was centered on to comprehensively and systematically analyze the strategic choices, system design and implementation mechanism of healthcare reform in China. Briefly, the "Tao" anchored the core concept of health-centered guidance by the Healthy China strategy and the health priority development strategy. The "Principle" promoted the construction of an integrated health system, graded diagnosis and treatment, and public health system by implementing strategies for the coordinated development and governance of the three medical institutions, social governance, medical prevention collaboration, and medical prevention integration. The "Tactics" implemented specific measures like reforming the operation mechanism of public hospitals, strengthening grassroots, cultivating and utilizing talents, and empowering information technology. Healthcare reform in China has made positive progress in financing and payment mechanisms, governance systems and capabilities, service models and efficiency, equity and accessibility. A Chinese plan has been formulated to be a reference for global health governance.