West meets east: Chinese and US doctors addressing the medical ecology and disease management from both countries’ perspectives
Family Medicine and Community Health
Place of Publication
Faculty of Health, Engineering and Science
School of Medical and Health Sciences
China’s expenditure on health care has increased dramatically over the last 20 years, and three broad trends are seen in the associated health outcomes. Firstly, limited improvements have been achieved to aggregate high-level health outcomes, e.g. infant mortality. Secondly, development of large and widening health inequalities associated with disparate wealth between provinces and a rural-urban divide. Finally, the burden of disease is shifting from predominantly communicable diseases to chronic diseases. n the US, leading primary care doctors have been invited to meet with the President’s health care reform team and put forward suggestions to revitalise primary care in the US. Key issues for reform are changes to the amount and nature of primary care payment systems, investment in primary care infra - structure and organisation, and strategies to attract more local medical students into family practice as a career.