Governing cross-border healthcare in mainland China: a scoping review of national policies from 2002 to 2022

Summary: This study reviews national-level policies regulating cross-border healthcare in mainland China after it acceded to the World Trade Organization (WTO). Policy documents from official websites of the State Council and 19 ministries were screened, from which 487 policy documents were analyzed...

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Main Authors: Xiang Yan, Zixuan Han, Pengpeng Ye, Anthony Gar-On Yeh, Xiaoping Xu, Anne W.M. Lee, Kenneth M.C. Cheung, Peng Gong, Shenjing He
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:The Lancet Regional Health. Western Pacific
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666606524000403
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author Xiang Yan
Zixuan Han
Pengpeng Ye
Anthony Gar-On Yeh
Xiaoping Xu
Anne W.M. Lee
Kenneth M.C. Cheung
Peng Gong
Shenjing He
author_facet Xiang Yan
Zixuan Han
Pengpeng Ye
Anthony Gar-On Yeh
Xiaoping Xu
Anne W.M. Lee
Kenneth M.C. Cheung
Peng Gong
Shenjing He
author_sort Xiang Yan
collection DOAJ
description Summary: This study reviews national-level policies regulating cross-border healthcare in mainland China after it acceded to the World Trade Organization (WTO). Policy documents from official websites of the State Council and 19 ministries were screened, from which 487 policy documents were analyzed. WTO's five modes of trade and WHO's six building blocks of healthcare system were used to guide the analysis of policymaking patterns, charting of policy evolution process, identification of key policy areas, differentiation of 29 detailed policy themes, and identification of major countries/regions involved in cross-border healthcare. The findings lead to four policy recommendations: (1) to establish a national-level committee to govern cross-border healthcare, (2) to build an information system to comprehensively integrate various information on cross-border healthcare consumption and provision, (3) to take more proactive policy actions in healthcare internationalization, and (4) to carry out reform experiments in key sub-national regions to fully explore various possibilities in developing and regulating cross-border healthcare.
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spelling doaj.art-ea27be47c5e34336ba36ed47e6c2d0a72024-03-16T05:09:21ZengElsevierThe Lancet Regional Health. Western Pacific2666-60652024-04-0145101046Governing cross-border healthcare in mainland China: a scoping review of national policies from 2002 to 2022Xiang Yan0Zixuan Han1Pengpeng Ye2Anthony Gar-On Yeh3Xiaoping Xu4Anne W.M. Lee5Kenneth M.C. Cheung6Peng Gong7Shenjing He8College of Architecture and Environment, Institute of Urbanization Strategy and Architecture Research, Sichuan University, China; Healthcare Evaluation and Organizational Analysis (HEOA) Group, Institute for Healthy Cities and West China Research Center for Rural Health Development, Sichuan University, China; Department of Urban Planning and Design, and the Social Infrastructure for Equity and Wellbeing (SIEW) Lab, The University of Hong Kong, Hong Kong SAR, ChinaDepartment of Urban Planning and Design, and the Social Infrastructure for Equity and Wellbeing (SIEW) Lab, The University of Hong Kong, Hong Kong SAR, China; Orthopaedic Center, The University of Hong Kong – Shenzhen Hospital, Shenzhen, China; Department of Orthopaedics & Traumatology, The University of Hong Kong, Hong Kong SAR, ChinaNational Centre for Non-Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, Beijing, ChinaCentre of Urban Studies and Urban Planning, The University of Hong Kong, Hong Kong SAR, ChinaThe University of Hong Kong – Shenzhen Hospital, Shenzhen, ChinaClinical Oncology Center, The University of Hong Kong – Shenzhen Hospital, Shenzhen, China; Department of Clinical Oncology, The University of Hong Kong, Hong Kong SAR, ChinaOrthopaedic Center, The University of Hong Kong – Shenzhen Hospital, Shenzhen, China; Department of Orthopaedics & Traumatology, The University of Hong Kong, Hong Kong SAR, ChinaUrban Systems Institute, The University of Hong Kong, Hong Kong SAR, ChinaDepartment of Urban Planning and Design, and the Social Infrastructure for Equity and Wellbeing (SIEW) Lab, The University of Hong Kong, Hong Kong SAR, China; The University of Hong Kong – Shenzhen Hospital, Shenzhen, China; Urban Systems Institute, The University of Hong Kong, Hong Kong SAR, China; Corresponding author. 8F, Knowles Building, Main Campus, University of Hong Kong, Pokfulam, Hong Kong SAR, China.Summary: This study reviews national-level policies regulating cross-border healthcare in mainland China after it acceded to the World Trade Organization (WTO). Policy documents from official websites of the State Council and 19 ministries were screened, from which 487 policy documents were analyzed. WTO's five modes of trade and WHO's six building blocks of healthcare system were used to guide the analysis of policymaking patterns, charting of policy evolution process, identification of key policy areas, differentiation of 29 detailed policy themes, and identification of major countries/regions involved in cross-border healthcare. The findings lead to four policy recommendations: (1) to establish a national-level committee to govern cross-border healthcare, (2) to build an information system to comprehensively integrate various information on cross-border healthcare consumption and provision, (3) to take more proactive policy actions in healthcare internationalization, and (4) to carry out reform experiments in key sub-national regions to fully explore various possibilities in developing and regulating cross-border healthcare.http://www.sciencedirect.com/science/article/pii/S2666606524000403Cross-border healthcareTrade in healthcare servicesHealth reformPolicy reviewChina
spellingShingle Xiang Yan
Zixuan Han
Pengpeng Ye
Anthony Gar-On Yeh
Xiaoping Xu
Anne W.M. Lee
Kenneth M.C. Cheung
Peng Gong
Shenjing He
Governing cross-border healthcare in mainland China: a scoping review of national policies from 2002 to 2022
The Lancet Regional Health. Western Pacific
Cross-border healthcare
Trade in healthcare services
Health reform
Policy review
China
title Governing cross-border healthcare in mainland China: a scoping review of national policies from 2002 to 2022
title_full Governing cross-border healthcare in mainland China: a scoping review of national policies from 2002 to 2022
title_fullStr Governing cross-border healthcare in mainland China: a scoping review of national policies from 2002 to 2022
title_full_unstemmed Governing cross-border healthcare in mainland China: a scoping review of national policies from 2002 to 2022
title_short Governing cross-border healthcare in mainland China: a scoping review of national policies from 2002 to 2022
title_sort governing cross border healthcare in mainland china a scoping review of national policies from 2002 to 2022
topic Cross-border healthcare
Trade in healthcare services
Health reform
Policy review
China
url http://www.sciencedirect.com/science/article/pii/S2666606524000403
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