Development history, current situation, problems, and strategies of public health system construction in China

WANG Kun1 MAO A-yan1 MENG Yue-li1 YANG Yu-jie DONG Pei QIU Wu-qi

(1.Department of Public Health Strategy Informatics, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing, China 100020)

【Abstract】In the past 70 years since the foundation of the People’s Republic of China, China has made remarkable achievements but also faced many problems and challenges in public health. At present, the development of public health system in China lags behind that of economy and other social undertakings. In the study, we analyzed and studied the development process and problems of public health system in China. The main problems in China’s public health system include the lagged development of the public health system, the lack of top-level design, the widening gap between the medical system and the public health system, the inadequacy of the total amount/structure and mode of financial investment in the development of the public health system, the instability and weak development of public health personnel, and lagging-behind public health informatization, obvious shortages in investment and talent resources, imperfect legal system construction, and the lack of administrative empowerment. To solve the problems mentioned above, we put forward some suggestions for improving the public health system in the new era, such as building a health service system combining medicine with prevention, optimizing the mode of financial investment, establishing a multi-channel financing mechanism, strengthening the construction of talents in public health system, enhancing public health informatization, and improving the public health legal system.

【Keywords】 public health; public health system; development history; new era; strategy suggestion;


【Funds】 Research Project of Beijing Municipal Health Commission

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This Article


CN: 21-1234/R

Vol 35, No. 07, Pages 801-805

July 2019


Article Outline


  • 1 Development process and current situation of China’s public health system
  • 2 Problems and challenges of China’s public health system
  • 3 Strategies on the construction and development of China’s public health system
  • References