COVID-19 in China: Responses, Challenges and Implications for the Health System

A public health crisis is a “touchstone” for testing the ability and capacity of a national health system. In the current era, public health crises are presenting new systematic and cross-border characteristics and uncertainty. The essence of a system for public health crisis governance is the rules...

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Main Authors: Cunhai Xing, Ruilian Zhang
Format: Article
Language:English
Published: MDPI AG 2021-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/1/82
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author Cunhai Xing
Ruilian Zhang
author_facet Cunhai Xing
Ruilian Zhang
author_sort Cunhai Xing
collection DOAJ
description A public health crisis is a “touchstone” for testing the ability and capacity of a national health system. In the current era, public health crises are presenting new systematic and cross-border characteristics and uncertainty. The essence of a system for public health crisis governance is the rules administering the stimulus–response chain. The health system generally emphasizes joint participation and communication between different subjects, which may lead to overlap and redundancy as well as a lack of auxiliary support for major public health crisis events. In the context of coronavirus disease 2019 (COVID-19) in China, we track the responses, challenges, and implications of the temporary disruption of the health system and its response to this major public health crisis. We examine local governance capacity, performance in pandemic control, and the coordinated responses to COVID-19. Accordingly, we identify the challenges to the health system, including the imbalance in attention given to medical care versus health care, insufficient grassroots public health efforts and control capacity, and untimely information disclosure. It is strongly suggested that the government improve its cognitive ability and focus more attention on building and strengthening the emergency health system.
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spelling doaj.art-ca6065b57c774dc49d968b449fda58192023-12-03T13:27:55ZengMDPI AGHealthcare2227-90322021-01-01918210.3390/healthcare9010082COVID-19 in China: Responses, Challenges and Implications for the Health SystemCunhai Xing0Ruilian Zhang1School of Marxism, Hohai University, Nanjing 211100, ChinaSustainable Minerals Institute, The University of Queensland, Brisbane 4072, AustraliaA public health crisis is a “touchstone” for testing the ability and capacity of a national health system. In the current era, public health crises are presenting new systematic and cross-border characteristics and uncertainty. The essence of a system for public health crisis governance is the rules administering the stimulus–response chain. The health system generally emphasizes joint participation and communication between different subjects, which may lead to overlap and redundancy as well as a lack of auxiliary support for major public health crisis events. In the context of coronavirus disease 2019 (COVID-19) in China, we track the responses, challenges, and implications of the temporary disruption of the health system and its response to this major public health crisis. We examine local governance capacity, performance in pandemic control, and the coordinated responses to COVID-19. Accordingly, we identify the challenges to the health system, including the imbalance in attention given to medical care versus health care, insufficient grassroots public health efforts and control capacity, and untimely information disclosure. It is strongly suggested that the government improve its cognitive ability and focus more attention on building and strengthening the emergency health system.https://www.mdpi.com/2227-9032/9/1/82public health crisishealth systemchallengesCOVID-19
spellingShingle Cunhai Xing
Ruilian Zhang
COVID-19 in China: Responses, Challenges and Implications for the Health System
Healthcare
public health crisis
health system
challenges
COVID-19
title COVID-19 in China: Responses, Challenges and Implications for the Health System
title_full COVID-19 in China: Responses, Challenges and Implications for the Health System
title_fullStr COVID-19 in China: Responses, Challenges and Implications for the Health System
title_full_unstemmed COVID-19 in China: Responses, Challenges and Implications for the Health System
title_short COVID-19 in China: Responses, Challenges and Implications for the Health System
title_sort covid 19 in china responses challenges and implications for the health system
topic public health crisis
health system
challenges
COVID-19
url https://www.mdpi.com/2227-9032/9/1/82
work_keys_str_mv AT cunhaixing covid19inchinaresponseschallengesandimplicationsforthehealthsystem
AT ruilianzhang covid19inchinaresponseschallengesandimplicationsforthehealthsystem