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Comparative effectiveness research and health care reform in China |
| Yilong Wang1,2, Yongjun Wang1,2* |
1. Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China;
2. Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100069, China |
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Abstract China has made significant progress in modernizing its healthcare system in the past 20 years. However, there are some issues that are difficult to solve on the current healthcare status, including the lack of medical care satisfaction in rural areas and urban areas, excessive consumption of medical resources, conflict and tension between the healthcare provider and patients, and the problems caused by the change of model of healthcare. Therefore, the State Council introduced the Opinions of the CPC Central Committee and the State Council on Deepening the Health Care System Reform in 2009 in order to provide basic, safe, effective, convenient and affordable healthcare for all residents. Despite the goals and policies set by the government, how to implement them remains to be challenging. Like evidence-based medicine, comparative effective research (CER) which started in the US in 2000's can provide diagnosis and treatment information for patients, doctors, and health policy makers to make decisions on the effective ways of caring for both individual and population. It also may apply to the conditions of healthcare reform in China. And there are opportunities and challenges of conducting CER in our country. We suggest that the government should establish the national-level CER research institute, CER Leadership Committee and relevant standards, fund the CER projects, and begin CER in certain disciplines.
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| Keywords
healthcare
comparative effective research (CER)
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Corresponding Author(s):
*Yongjun Wang, E-mail: yilong528@gmail.com
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Issue Date: 14 October 2016
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[1] WHO. The World Health Report 2000-health systems: improving performance. http://www.who.int/whr/2000/en/. (December 20, 2011).
[2] Alcorn T, Bao B. China progresses with health reform but challenges remain. Lancet, 2011, 377(9777): 1557-1558.
[3] WHO. The World Health Report 2010-health systems financing: the path to universal coverage. http://www.who.int/whr/2010/en/index.html. (December 20, 2011).
[4] Keqiang Li. Deepening health care reform in a bid to build a health care system that benefits the entire population. http://www.gov.cn/ldhd/2011-11/17/content_1995480.htm. (December 20, 2011).
[5] Opinions of the CPC Central Committee and the State Council on Deepening the Health Care System Reform. http://www.gov.cn/jrzg/2009-04/06/content_1278721. htm. (December 20, 2011).
[6] Federal Coordinating Council for Comparative Effectiveness Research. Report to the President and the Congress. http://www.hhs.gov/recovery/programs/cer/cerannualrpt. pdf. (December 20, 2011). |
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