A scoping review of national policies for hierarchical medical system in China since the 2009 health reform.

ABSTRACT:

Background

Universal health coverage (UHC) is driving the global health agenda. In 2009, the Chinese government launched a new round of healthcare reform toward UHC, and made remarkable progress in UHC through the establishment of a hierarchical medical system (HMS). We aim to summarize and review the evolution of China's hierarchical medical system policy.

Methods

Eligible policies were identified between March 7, 2009 and December 31, 2022, by searching the official websites of the PKULAW Database, the Chinese State Council, and related ministries. Policy screening and data extraction were conducted by two researchers independently and discrepancies were resolved by consensus. Policy maker, policy initiatives, policy instrument, policy structure and evolution were visually

SUBMITTER: Cai T 

PROVIDER: S-EPMC12283634 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature