Intensive patient―doctor relationship in China.docVIP

Intensive patient―doctor relationship in China 　　1 Background of Chinese Health System 1.1 Track of Chinese health system reform In the past 30 years， Chinese health system experienced 5 stages of reforming. From 1978 to 1984， in the background of economic reform since 1978， China entered upon the first stage of health reform， which was more like an incubation period of recovering and completing the weak health system rather than substantive reforming. [6] 1985-1992， influenced by the economic reform， Chinese government introduced market economic model to cut the investment on health care， which started the health insurance transaction to parts of out-of-pocket medical costs from free public medical care. [6] At the third stage of health system reform， 1992-2000， the main objective of this reform was to hence the quality of health services. It is because that government had to face the complaint on the increase about the health care quality from the patients. During the last stage， health sectors started to transform to market-oriented， which had caused the increase the proportion of out-of-pocket money and the decrease of health quality. 2000-2005， in the forth stage， it contributed to the first step of reform of health institution property rights. Accompanied with deepening market-based economic reform， various conflicts from different social groups woke up after the breaking of SARS （Severe Acute Respiratory Syndromes） in 2003. In 2005， it was reported that Chinese government admitted the failure of the past health care reform. [6] A new reform based on the lessons was built up and have been being completed since then. In 2009， the State Council announced the goal to achieve universal health care coverage by 2020. [7] At the end of 2011， in Qun Mengs study， the insurance had achieved 95.7% covered already， comparing to the 29.7% covered in 2003. [8] The latest health reform engaged in 5 aspects： service delivery， essential medicines， public health， insur