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CHINA<br />

Organization of the Health System in China<br />

China People’s Congress<br />

Central Committee of Communist Party of China<br />

State Council<br />

Ministry of<br />

Human<br />

Resource and<br />

Social Security<br />

National<br />

Development<br />

and Reform<br />

Commission<br />

National<br />

Health and<br />

Family Planning<br />

Commission<br />

China Food<br />

and Drug<br />

Administration<br />

Ministry<br />

of<br />

Finance<br />

Ministry<br />

of<br />

Education<br />

Urban<br />

Employmentbased<br />

Health<br />

Insurance and<br />

Urban Resident<br />

Health Insurance<br />

General Administration<br />

of Quality Supervision,<br />

Inspection, and Quarantine<br />

National<br />

Universities<br />

State<br />

Administration<br />

of Traditional<br />

Chinese<br />

Medicine<br />

Rural Newly<br />

Cooperative<br />

Medical<br />

Scheme<br />

Hospitals<br />

Hospitals<br />

Provincial<br />

Governments<br />

Chinese<br />

Academy of<br />

Medical<br />

Science<br />

China CDC<br />

Bureau of<br />

Health Politics<br />

and Hospital<br />

Administration<br />

A similar<br />

government<br />

structure to<br />

that at the<br />

national level<br />

Department<br />

of Health<br />

Care Quality<br />

Source: Hai Fang, Peking University, 2015.<br />

What is being done to promote delivery system integration and<br />

care coordination?<br />

Medical alliances are regional hospitals groups, often including one tertiary hospital and several secondary<br />

hospitals and primary care facilities, that provide access to primary care facilities for patients with minor health<br />

issues. The aim is to reduce the need for people to visit tertiary hospitals. At the same time, patients with<br />

serious health problems can be referred to tertiary hospitals easily and moved back to primary care facilities<br />

after their condition improves. It is hoped that this type of care coordination will meet demand for chronic<br />

36<br />

The Commonwealth Fund

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