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Home / Family Medicine and Community Health, Volume 3, Number 1

“Three essential elements” of the primary health care system: A comparison between California in the US and Guangdong in China

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The primary health care system (PHCS) is the portal and basis for the national health delivery system. There are a number of elements which comprise the PHCS, but the system cannot be established and developed without the support of “three essential elements,” including general practitioners (GPs), health insurance, and government health investment. Through comparative analysis of the “three essential elements” of the PHCS between California in the US and Guangdong in China, this article indicates that there are three important aspects in developing a PHCS in China, as follows: training qualified GPs; establishing a diversified health insurance system to strengthen the policy connections between health insurance and the PHCS thereby increasing government health investment; and broadening health financing channels.

Keywords: California; Guangdong; Primary health care system (PHCS); general practitioner (GP); government health investment; health insurance

Document Type: Research Article

Publication date: 01 March 2015

This article was made available online on 26 March 2015 as a Fast Track article with title: ""Three pivots” of the primary health care system: a comparison between California in the US and Guangdong in China".

More about this publication?

  • Family Medicine and Community Health (FMCH) is an open-access journal focusing on subjects that are common and relevant to family medicine/general practice and community health. The journal publishes relevant content across disciplines such as epidemiology, public health, social and preventive medicine, research and evidence based medicine, community health service, patient education and health promotion and health ethics. The journal has a specific focus on the management of chronic illness particularly diabetes, ischaemic heart disease, chronic heart failure, hypertension, bronchial asthma, chronic obstructive airways disease and common mental illness. FMCH is published by Compuscript http://www.compuscript.com on behalf of the Chinese General Practice Press http://www.chinagp.net.

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