China’s Health Reform Check-up

A decade after China’s government launched the Healthy China 2020 initiative—an ambitious commitment to an affordable, efficient health system—The Lancet Public Health checks on its progress with a special issue.

The findings reveal expanding rural-urban disparities as a key threat to China's development goals. And, while China shows substantial gains addressing maternal, neonatal, and communicable conditions, noncommunicable diseases are rising.

2 Close-Ups:

  • China's injury prevention has improved in the last 3 decades, shows a Chinese Center for Disease Control and Prevention-led study—but injury incidence is climbing at the province level. One finding—that injuries from falls declined overall, but rose among older people—underscores how injury burdens are shifting as life expectancy increases.

The Lancet zooms in other issues including influenza surveillance, discrimination against LGBT populations, and health and climate action in China.

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