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Healthy China 2030: Healthcare Policy and Reform from an International Perspective

On the morning of November 5th, the panel session “The New Impetus of Economic Development in the Changing Pattern” was inaugurated in the Sunshine Hall, Yingjie Exchange Center, Peking University. The theme of this discussion was "Healthy China 2030: Healthcare Policy and Reform from an International Perspective". Professor Xuezheng Qin presided over the meeting. The Chinese and foreign scholars discussed the medical policy and reform issues in depth. 

Professor Gordon Liu from Peking University made the speech entitled "China`s New Era: Growth and Health". The author reviewed the changes and trends in China`s economic development over the past 30 years, introduced China`s basic medical and health system, analyzed the basic path and problems of medical and health system reform in China from the perspective of demand and supply. At the same time, the author made a detailed analysis of "Healthy China 2030" and believed that the Healthy China Strategy requires three aspects of transformation. The first one is from patients care to whole population wellness management. The second one is from disease episode to whole life cycle health management. The third one is from policies of MOH alone to whole related sectors. 

Professor Sean Sylvia from the University of North Carolina at Chapel Hill made a report entitled "The Fundamental Role of Primary Care Quality for a Healthy China: Evidence from Mystery Patients". The author evaluated the primary care quality of rural clinics and hospitals using unannounced standardized patients (SPs), and analyzed the differences in factors that affect quality care and international standards. At the same time, the author used management of presumptive tuberculosis cases as a case study to illustrate challenges in promoting ‘integrated care’ at the health system level. The conclusion was that there were significant quality deficits among village clinics and township health centers in the management of a classic case of presumptive TB, with higher proportions of correct case management in county hospitals. It is suggested to improve the quality of medical services of primary health care institutions by improving the level of medical knowledge of primary health care providers, strengthening incentives for referral, and strengthening the integration of different levels of health system. 

Professor Xi Chen from Yale University presented a topic on "Promoting Population Health: China at the Crossroads". He outlined the core content of the healthy China 2030 strategy and pointed three major transitions. The details of transitions are from patients to whole population, from disease episode to whole life cycle, from MOH to whole related sectors. Then, he analyzed the mismatch problem of social services and health care spending, and emphatically discussed the environment and climate change on residents` life satisfaction, mental health, and cognitive functioning. He put forward a feasible way to promote population health from the physiological and psychological aspects. 

Professor Tetsuji Yamada from Rutgers University gave a presentation on "Global Perspectives of Different Healthcare Systems and Health: Income, Education, Health Disparity, Health Behaviors and Public Health in China, Japan and USA". Under the national healthcare system in China (NHI), the universal healthcare system in Japan (UHI) and the mixed healthcare system in the USA (MHI), this study empirically examined the decision-making preferences about preventative behaviors, evaluated health disparity based on income and education, and identified an effect of health education on health status and government spending. He found that health insurance plays an important role in preventive health care. NHI and UHI are more effective way to promote preventive care than MHI. Educational attainment will reduce health disparity among population, and reduce income disparity in the long run. Better health literacy through health education is the major factor of raising sustainable health. 

During the interactive exchange session, attendees conducted in-depth discussions on health factors, the government`s financial expenditures in the medical field, health costs and benefits. The conference was successfully concluded in a strong academic atmosphere.
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