- The Health Care System and Public Health in China
Содержание
- 2. China’s Health Care System Public Health in China I will discuss…
- 3. Basic Statistics/Economic status System overview Who pay for health services? Government’s health policies China and its
- 4. Area: 9.6 million km2 Total population: 1.27 billion (2000) Population in rural areas: 63.8％ Administrative Region:
- 5. Economic Status by Province, 1999 Source : China statistical year book,2000
- 6. Health Care System
- 7. County Hospital Agencies: 2008 Workers:487684 Township hospital(Clinic) Agencies: 47928 Workers:1163700 County Maternity and Child Health Hospital
- 8. China Health Information System Ministry of Health, P.R.China China CDC Center of Information of MOH Institute
- 9. Who pay for health services ? 1949-1977 free health services for the entire urban population, government
- 10. The Medical Expenditure Per Capital Outpatient (Unit: RMB)
- 11. Change Trend of the Medical Expenditure Per Capital Outpatient and Inpatient (Unit: RMB)
- 12. Total Health Expenditure 1995-2000 Unit:RMB The absolute value of the national total health expenditure and total
- 13. The proportion of the total health expenditure in China1990-1995 The percentage to GDP(%)
- 14. Maldistribution of Health Resources
- 15. Total Health Expenditure As Percentage of GDP
- 17. Comparison the proportion of health expenditure to GDP in Five Countries in 1995
- 18. Health Policy in China(1950s) Meet health needs of the workers, peasants and soldiers Put the prevention
- 19. Health Policy in China(1980s) Put the prevention first Rely on the advanced scientific progress Mobilize the
- 20. Health Policy in China(2000s) --The 1996 Health Meeting of China’s Central Gov. Emphasize on the health
- 21. History of Public Health Public Health Achievements Public Health Challenges Public Health in China
- 22. Brief History of PH in China Before the Eighteenth Century The Eighteenth –Nineteenth Century The 20s-30s
- 23. Brief History of PH in China --before of the eighteenth century The Yellow Emperor’ s Canon
- 24. Book on epidemic febrile diseases Experience of diagnosing and treating Western(modern) medicine into China in 1830s,
- 25. The western medical hospital in China, represented by Peking Union Medical College Hospital The first Department
- 26. Coping the public health system of the former Soviet Union in 1950s Setting up an anti-epidemic
- 27. The great sanitary awakening Preventing acute infectious diseases Health education Free basic immunization Established three-tiered PHC
- 28. The rapid development of public health in China reform and open policy development of science and
- 29. The Development and improvement Establishment Before 18th century 18th –19th century 20s-30s 20th century 50s-70s 20th
- 30. Birth rate(BR). Infant mortality rate(IMR). Crude death rate(CDR). Life expectancy(LE)
- 31. Leading Causes of Death
- 32. Birth Rate (‰) Birth Rate Decreased
- 33. The Incident Rate of Communicable Disease in China(1965~1998) 发病率（1/10万）
- 34. Parasitic Diseases:Under Control
- 35. Proportion of different infectious disease cases 1965-1995 (%) Transmitted by sex or blood Respiratory Gastrointestinal Vector-borne
- 36. Patriotic Sanitation Campaign
- 37. Strengthening Health legislation - issued 9 laws, 24 rule of laws and more than 400 regulations
- 38. Development of Epidemic Prevention Institutions 283000 5900 2500 500
- 39. World Health Report 2000 Selected Indicators
- 40. The Experts of the World Bank Evaluate Primary Health Care in China: “Truly, Declare of Alma-Ata
- 41. Change of Population Urbanization and industrialization Double burdens of diseases Behavioral and Environmental Unreasonable of allocation
- 42. Trend of Age Composition Change 1999 year China: 0.126 billion Asia: 0.314 billion World: 0.593 billion
- 43. 0 2 4 6 8 10 12 14 16 18 1953 1964 1982 1990 1995 2000
- 44. The change trends of the structure of population, dependency ratio and medical vulnerable population in China
- 46. Urbanization and Industrialization Environmental pollution Life and work stress Injury Immigrant
- 47. The Natural Ecological Environment —— Pollution The comparison of the sewage discharge between 1998 and 1999
- 48. The amount of urban refuse in China Beijing In 1996 the amount of urban refuse cleared
- 49. In 1999, the coal smoke type was still the main type of air pollution in China
- 50. Double Burdens of Disease Threats of communicable disease and parasitic disease still exists Chronic and non-communicable
- 51. Threats of Infectious Disease and Parasitic Disease Still Exists Threats from old infectious diseases such as
- 52. 1957 Year 1999 Year Changing Trend of Case of Death In urban
- 53. Respiratory Heart disease cerebrovascular cancer Metabolized disease Digestive disease The prevalence and mortality rate of chronic
- 54. Behavioral Risk Factors Smoking Drinking Dirt
- 55. Smoking At present China has turned into the biggest country of tobacco consumption in the world
- 56. Production and Marketing of tobacco in China Source:The Report of Tobacco in China
- 57. It is expected that it will reach 47.2624 million tons in 2000 1952~1978: The annual growth
- 58. Diet The comparison of food consumption by residents between 1991 and 1997 in the city and
- 59. The prevalence of overweight 18.28% The prevalence of obesity 2.48% In Chinese population aged 20+ Overweight
- 60. Social population environment Natural ecological environment Working environment Living environment Environments Risk Factors
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China’s Health Care System
Public Health in China
I will discuss…
China’s Health Care System
Public Health in China
I will discuss…
Basic Statistics/Economic status
System overview
Who pay for health services?
Government’s health policies
China
Basic Statistics/Economic status
System overview
Who pay for health services?
Government’s health policies
China
Area: 9.6 million km2
Total population: 1.27 billion (2000)
Population in rural areas:
Area: 9.6 million km2
Total population: 1.27 billion (2000)
Population in rural areas:
Economic Status by Province, 1999
Source : China statistical year book,2000
Economic Status by Province, 1999
Source : China statistical year book,2000
Health Care System
Health Care System
County Hospital
Agencies: 2008
Workers:487684
Township hospital(Clinic)
Agencies: 47928
Workers:1163700
County Maternity and
County Hospital
Agencies: 2008
Workers:487684
Township hospital(Clinic)
Agencies: 47928
Workers:1163700
County Maternity and
China Health Information System
Ministry of Health, P.R.China
China CDC
Center of Information of
China Health Information System
Ministry of Health, P.R.China
China CDC
Center of Information of
Who pay for health services ?
1949-1977 free health services for the
Who pay for health services ?
1949-1977 free health services for the
The Medical Expenditure Per Capital
Outpatient (Unit: RMB)
The Medical Expenditure Per Capital
Outpatient (Unit: RMB)
Change Trend of the Medical Expenditure Per Capital Outpatient and Inpatient
Change Trend of the Medical Expenditure Per Capital Outpatient and Inpatient
Total Health Expenditure
1995-2000 Unit:RMB
The absolute value of the national total
Total Health Expenditure
1995-2000 Unit:RMB
The absolute value of the national total
The proportion of the total health expenditure in China1990-1995
The percentage to
The proportion of the total health expenditure in China1990-1995
The percentage to
Maldistribution of Health Resources
Maldistribution of Health Resources
Total Health Expenditure As Percentage of GDP
Total Health Expenditure As Percentage of GDP
Comparison the proportion of health expenditure to GDP
in Five Countries
Comparison the proportion of health expenditure to GDP
in Five Countries
Health Policy in China(1950s)
Meet health needs of the workers, peasants
Health Policy in China(1950s)
Meet health needs of the workers, peasants
Health Policy in China(1980s)
Put the prevention first
Rely on the advanced scientific
Health Policy in China(1980s)
Put the prevention first
Rely on the advanced scientific
Health Policy in China(2000s)
--The 1996 Health Meeting of China’s Central
Health Policy in China(2000s) --The 1996 Health Meeting of China’s Central
History of Public Health
Public Health Achievements
Public Health Challenges
Public Health
History of Public Health
Public Health Achievements
Public Health Challenges
Public Health
Brief History of PH in China
Before the Eighteenth Century
The Eighteenth –Nineteenth
Brief History of PH in China
Before the Eighteenth Century
The Eighteenth –Nineteenth
Brief History of PH in China
--before of the eighteenth century
The
Brief History of PH in China
--before of the eighteenth century
The
Book on epidemic febrile diseases
Experience of diagnosing and treating
Western(modern) medicine
Book on epidemic febrile diseases
Experience of diagnosing and treating
Western(modern) medicine
The western medical hospital in China, represented by Peking Union Medical
The western medical hospital in China, represented by Peking Union Medical
Coping the public health system of the former Soviet Union in
Coping the public health system of the former Soviet Union in
The great sanitary awakening
Preventing acute infectious diseases
Health education
Free
The great sanitary awakening
Preventing acute infectious diseases
Health education
Free
The rapid development of public health in China
reform and
The rapid development of public health in China
reform and
The Development and improvement
Establishment
Before 18th century
18th –19th century
20s-30s 20th
The Development and improvement
Establishment
Before 18th century
18th –19th century
20s-30s 20th
Birth rate(BR). Infant mortality rate(IMR).
Crude death rate(CDR). Life expectancy(LE)
Birth rate(BR). Infant mortality rate(IMR).
Crude death rate(CDR). Life expectancy(LE)
Leading Causes of Death
Leading Causes of Death
Birth Rate (‰)
Birth Rate Decreased
Birth Rate (‰)
Birth Rate Decreased
The Incident Rate of Communicable Disease in China(1965~1998)
发病率（1/10万）
The Incident Rate of Communicable Disease in China(1965~1998)
发病率（1/10万）
Parasitic Diseases:Under Control
Parasitic Diseases:Under Control
Proportion of different infectious disease cases 1965-1995 (%)
Transmitted by sex or
Proportion of different infectious disease cases 1965-1995 (%)
Transmitted by sex or
Patriotic Sanitation Campaign
Patriotic Sanitation Campaign
Strengthening Health legislation
- issued 9 laws, 24 rule of laws and
Strengthening Health legislation
- issued 9 laws, 24 rule of laws and
Development of Epidemic Prevention Institutions
283000
5900
2500
500
Development of Epidemic Prevention Institutions
283000
5900
2500
500
World Health Report 2000 Selected Indicators
World Health Report 2000 Selected Indicators
The Experts of the World Bank Evaluate Primary Health Care
The Experts of the World Bank Evaluate Primary Health Care
Change of Population
Urbanization and industrialization
Double burdens of diseases
Behavioral and Environmental
Change of Population
Urbanization and industrialization
Double burdens of diseases
Behavioral and Environmental
Trend of Age Composition Change
1999 year
China: 0.126 billion
Asia: 0.314 billion
World: 0.593
Trend of Age Composition Change
1999 year
China: 0.126 billion
Asia: 0.314 billion
World: 0.593
0
2
4
6
8
10
12
14
16
18
1953
1964
1982
1990
1995
2000
2015
1949 total 0.58 billion
Aging 8%
Trend of Population and Aging
（0.1 Billion)
2050
2015
0
2
4
6
8
10
12
14
16
18
1953
1964
1982
1990
1995
2000
2015
1949 total 0.58 billion
Aging 8%
Trend of Population and Aging
（0.1 Billion)
2050
2015
The change trends of the structure of population, dependency ratio and
The change trends of the structure of population, dependency ratio and
Urbanization and Industrialization
Environmental pollution
Life and work stress
Injury
Immigrant
Urbanization and Industrialization
Environmental pollution
Life and work stress
Injury
Immigrant
The Natural Ecological Environment —— Pollution
The comparison of the sewage discharge
The Natural Ecological Environment —— Pollution
The comparison of the sewage discharge
The amount of urban refuse in China
Beijing
In 1996 the
The amount of urban refuse in China
Beijing
In 1996 the
In 1999, the coal smoke type was still the main type
In 1999, the coal smoke type was still the main type
Double Burdens of Disease
Threats of communicable disease and parasitic disease still
Double Burdens of Disease
Threats of communicable disease and parasitic disease still
Threats of Infectious Disease and Parasitic Disease Still Exists
Threats from
Threats of Infectious Disease and Parasitic Disease Still Exists
Threats from
1957 Year
1999 Year
Changing Trend of Case of Death In urban
1957 Year
1999 Year
Changing Trend of Case of Death In urban
Respiratory
Heart disease
cerebrovascular
cancer
Metabolized disease
Digestive disease
The prevalence and mortality rate of chronic
and
Respiratory
Heart disease
cerebrovascular
cancer
Metabolized disease
Digestive disease
The prevalence and mortality rate of chronic and
Behavioral Risk Factors
Smoking
Drinking
Dirt
Behavioral Risk Factors
Smoking
Drinking
Dirt
Smoking
At present China has turned into the biggest country of tobacco
Smoking
At present China has turned into the biggest country of tobacco
Production and Marketing of tobacco in China
Source:The Report of Tobacco in
Production and Marketing of tobacco in China
Source:The Report of Tobacco in
It is expected that it will reach 47.2624 million tons in
It is expected that it will reach 47.2624 million tons in
Diet
The comparison of food consumption by residents between 1991 and 1997
Diet
The comparison of food consumption by residents between 1991 and 1997
The prevalence of overweight
18.28%
The prevalence of obesity
2.48%
In Chinese population aged 20+
Overweight
240
The prevalence of overweight
18.28%
The prevalence of obesity
2.48%
In Chinese population aged 20+
Overweight
240
Social population environment
Natural ecological environment
Working environment
Living environment
Environments Risk Factors
Social population environment
Natural ecological environment
Working environment
Living environment
Environments Risk Factors
Современные принципы терапии дисфункциональных расстройств билиарного тракта
Факторы, влияющие на здоровье человека
Дифференциальный диагноз заболеваний, сопровождающихся синдромом экзантемы
Основные патоморфологические аспекты развития миксомы сердца
Противотуберкулезные и противосифилитические препараты
ОРВИ, грипп, covid-19 – симптомы и профилактика
Паразиты в организме человека
Опухоли пищевода
Болезни, передаваемые половым путём. Меры профилактики. СПИД и его профилактика
Сердечно-легочная реанимация
Обморок. Коллапс. Шок
Оперативті хирургиялық техниканың заманауи инструменттерінің негіздері
Травмы костей черепа и грудной клетки
Переношенная беременность
Адреногенитальный синдром
Шытырман есеп: «Жақ остеомилиті»
Реабилитация и социальная защита инвалидов
Основы психологического анализа конфликтов
Molisan Лосьон
Paura kauls os parietale
Общая характеристика нарушений опорно-двигательного аппарата. Детский церебральный паралич
Кожа – самый большой орган нашего организма
Микроэлементозы человека. Биогеохимические провинции. Эндемические заболевания центрального черноземья
Экстрапирамидная система
Врачевание эпохи европейского Возрождения ( XIV –XVII вв.)
Чистота залог здоровья
Регенерация как общее свойство живых организмов
Средства, влияющие на сердечно - сосудистую систему. Лекция №13