Tackling the challenges to health equity in China.

Journal Article (Journal Article)

In terms of economic development, China is widely acclaimed as a miracle economy. Over a period of rapid economic growth, however, China's reputation for health has been slipping. In the 1970s China was a shining example of health development, but no longer. Government and public concerns about health equity have grown. China's health-equity challenges are truly daunting because of a vicious cycle of three synergistic factors: the social determinants of health have become more inequitable; imbalances in the roles of the market and government have developed; and concerns among the public have grown about fairness in health. With economic boom and growing government revenues, China is unlike other countries challenged by health inequities and can afford the necessary reforms so that economic development goes hand-in-hand with improved health equity. Reforms to improve health equity will receive immense popular support, governmental commitment, and interest from the public-health community worldwide.

Full Text

Duke Authors

Cited Authors

  • Tang, S; Meng, Q; Chen, L; Bekedam, H; Evans, T; Whitehead, M

Published Date

  • October 25, 2008

Published In

Volume / Issue

  • 372 / 9648

Start / End Page

  • 1493 - 1501

PubMed ID

  • 18930531

Pubmed Central ID

  • PMC7135088

Electronic International Standard Serial Number (EISSN)

  • 1474-547X

Digital Object Identifier (DOI)

  • 10.1016/S0140-6736(08)61364-1


  • eng

Conference Location

  • England