Advancing the application of systems thinking in health : managing rural China health system development in complex and dynamic contexts

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dc.contributor.authorXiulan Zhang
dc.contributor.authorBloom, Gerald
dc.contributor.authorXiaoxin Xu
dc.contributor.authorLin Chen
dc.contributor.authorXiaoyun Liang
dc.contributor.authorWolcott, Sara J.
dc.date.accessioned2015-04-20T16:29:23Z
dc.date.available2015-04-20T16:29:23Z
dc.date.copyright2014
dc.date.issued2014
dc.description.abstractThis paper explores the evolution of the Cooperative Medical System (CMS) and New Cooperative Medical Schemes (NCMS) as a case study of the complex process of health system development. The study identifies three major transition points associated with changes in development strategy, and demonstrates how the adaptation of large numbers of actors to these contextual changes have had a major impact on the performance of the health system. The case of NCMS provides insight into health system development in low- and middle-income countries. In China, the existence of a strong Ministry of Health has contributed to the system resilience.en
dc.formatTexten
dc.format.extent1 digital file (9 p.)en
dc.format.mimetypeApplication/pdf
dc.identifier.citationXiulan Zhang, Bloom, G., Xiaoxin Xu, Lin Chen, Xiaoyun Liang, & Wolcott, S.J. (2014). Advancing the application of systems thinking in health: managing rural China health system development in complex and dynamic contexts. Health Research Policy and Systems, 12. doi:10.1186/1478-4505-12-44en
dc.identifier.urihttp://hdl.handle.net/10625/53971
dc.language.isoen
dc.publisherBioMed Centralen
dc.relation.ispartofAdvancing the application of systems thinking in healthen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0
dc.subjectHEALTH SYSTEMen
dc.subjectCHINAen
dc.subjectINSTITUTIONAL FRAMEWORKen
dc.subjectHEALTH POLICYen
dc.subjectPRIMARY HEALTH CAREen
dc.subjectHEALTH FINANCINGen
dc.subjectCENTRAL GOVERNMENTen
dc.subjectLEADERSHIPen
dc.subjectCOMMUNITY FACILITIESen
dc.subjectFAR EAST ASIAen
dc.subjectSYSTEMS ANALYSISen
dc.titleAdvancing the application of systems thinking in health : managing rural China health system development in complex and dynamic contextsen
dc.typeJournal Article (peer-reviewed)en
idrc.copyright.holderZhang et al.; licensee BioMed Central Ltd.
idrc.copyright.oapermissionsourceCC BYen
idrc.dspace.accessOpen Accessen
idrc.project.componentnumber106975001
idrc.project.number106975
idrc.project.titleAdvancing Knowledge and Practice to Systems Thinking to Strengthen Equity in Health Systemsen
idrc.recordsserver.bcsnumberIC01-9715-19
idrc.rims.adhocgroupIDRC SUPPORTEDen

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