New England Journal of Medicine · 1984 · 130 citations · 3 references
Public AffairsHealth PolicyHealth SystemsComparative Health SystemsHealthcare AdministrationRural HealthHealth Care Change ManagementHealth Care MarketsHealth System ReformHealth Systems ManagementIntegrated Care SystemsRural Health InfrastructureHealth Care EconomicsHealth Care Systems HistoryHealth Care Transformation StrategyHealth Sector ReformHealthcare TransformationRural Economic ChangeRural Health Care Delivery ModelsViable System Model
As a result of general economic reforms in 1980, the Chinese rural health-care system is undergoing rapid transformation. Ironically, modernization has inadvertently caused a once viable model health system to crumble. The cooperative medical system with barefoot doctors as its mainstay is being washed away on the tides of economic change. Several new arrangements are evolving out of the previous system.This article examines the evolving Chinese cooperative medical system, with the intention of garnering some valuable lessons for the Third World as well as for industrialized countries. The changes taking place in the Chinese health system were not planned. . . .
3
Donna E. Parmelee, Gail Henderson, Myron S. Cohen · Social Science & Medicine · 1982 · 16 citations · Full text