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Strengthening of Traditional Chinese Medicine in the Health System Reform: Effect on Health Outcomes and Financial Protection
He, Ping1; Zhu, Dawei1; Man, Xiaowei2,3; Bai, Qian2,4; Huang, Lieyu2; Shi, Xuefeng2; Meng, Qingyue1
2022-01
Source PublicationEvidence-based Complementary and Alternative Medicine
ISSN1741-427X
Volume2022Issue:7226674
Abstract

Background. The challenges of modern medicine in addressing chronic diseases necessitate a shift of attention towards traditional medicine (TM) and other supplementary care systems. China has prioritized the strengthening of traditional Chinese medicine (TCM) in the health system reform since 2009. This study sought to assess the effects of the reform on TCM and the resultant effect of a strengthened TCM on health outcomes and financial protection. Methods. Longitudinal data were obtained from the China Statistical Yearbook, China Health Statistical Yearbook, China Population Statistical Yearbook, and Statistical Extract of Traditional Chinese Medicine in 31 provinces of mainland China between 2002 and 2016. Dependent variables included health outcomes measured by age-standardized excess mortality and life expectancy at birth and financial protection measured by the proportion of health expenses in total consumption expenses. The independent variables consisted of the number and proportion of TCM physicians. The fixed effects (FEs) models were established to identify the effect of the independent variables on outcomes. Results. From 2009 to 2016, the number and proportion of TCM physicians increased from 22 to 36 physicians per 100,000 population and from <12% to >15%, respectively. The changes were more rapid and higher than that in the period before the reform. An increase of 1 TCM physician per 100,000 population was associated with a decrease of 1.944 excess deaths, a 5.84-day increase in male life expectancy, and a decrease of 0.051% of health expenses among both urban and rural residents. An increase in proportion of 1% of TCM physicians was associated with a decrease of 5.097 excess deaths, a 17.52-day increase of life expectancy (both genders), an increase of 21.535-day in life expectancy (males) per 100,000 population, and a decrease of 0.082% of health expenses among rural residents. Conclusion. During China's health system reform, the increased physician number has strengthened TCM. Higher TCM physician supply was associated with improved health outcomes and financial protection, which implies that the reform may have important implications on health system performance in China.

DOI10.1155/2022/7226674
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaIntegrative & Complementary Medicine
WOS SubjectIntegrative & Complementary Medicine
WOS IDWOS:000769990400001
Scopus ID2-s2.0-85124035427
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Document TypeJournal article
CollectionInstitute of Chinese Medical Sciences
THE STATE KEY LABORATORY OF QUALITY RESEARCH IN CHINESE MEDICINE (UNIVERSITY OF MACAU)
Corresponding AuthorMeng, Qingyue
Affiliation1.China Center for Health Development Studies, Peking University, Beijing, 100191, China
2.School of Management, Beijing University of Chinese Medicine, Beijing, 100029, China
3.State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Taipa, 999078, Macao
4.Office of Policy and Planning Research, Chinese Center for Disease Control and Prevention, Beijing, 102206, China
Recommended Citation
GB/T 7714
He, Ping,Zhu, Dawei,Man, Xiaowei,et al. Strengthening of Traditional Chinese Medicine in the Health System Reform: Effect on Health Outcomes and Financial Protection[J]. Evidence-based Complementary and Alternative Medicine, 2022, 2022(7226674).
APA He, Ping., Zhu, Dawei., Man, Xiaowei., Bai, Qian., Huang, Lieyu., Shi, Xuefeng., & Meng, Qingyue (2022). Strengthening of Traditional Chinese Medicine in the Health System Reform: Effect on Health Outcomes and Financial Protection. Evidence-based Complementary and Alternative Medicine, 2022(7226674).
MLA He, Ping,et al."Strengthening of Traditional Chinese Medicine in the Health System Reform: Effect on Health Outcomes and Financial Protection".Evidence-based Complementary and Alternative Medicine 2022.7226674(2022).
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