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China has 1.51 doctors and 2.45 hospital beds for every
1,000 people. In Beijing, Shanghai, Tianjin, Chongqing and other
large cities, general traditional Chinese medicine and hospitals
specializing in, for example, cancer, cardio-and cerebro-vascular
disorder, ophthalmology, dentistry and infectious diseases can be
found. Medium-sized cities throughout China have general and specialized
hospitals with modern facilities. Medical treatment, disease prevention,
and health-care networks have taken shape at county, township and
village levels. With the establishment and development of health
and medical-care organizations and the gradual spread of good hygiene
habits, infectious and parasitic diseases, formerly the major killers,
have been replaced by cancer, cardio- and cerebro-vascular diseases
and creating a mortality pattern close to that of the developed
countries. The health of urban and rural residents has been greatly
improved; the average life expectancy is now 71.95 years, five more
than the world average.
"Prevention first" is one of the important principles
in all China's health care work. All administrations have created
hygiene and disease-prevention organizations responsible for overall
management of these functions including hygiene and epidemic-prevention
stations, forming a nationwide network of hygiene supervision and
control. In order to eliminate or control some serious epidemic
and local diseases endangering people's heath, the National People's
Congress and State Council issued the Law on the Prevention and
Cure of Infectious Diseases, the National Plan for Poliomyelitis
Elimination by the Year 1995, and National Outline for IDD Elimination
by the Year 2000 and other documents. Disease prevention work has
been further strengthened and made outstanding achievements.
In May 2003, the State Council issued Regulations on Public Health
Emergencies, establishing a legal framework for tackling public
health crises. Furthering its cooperation with the World Health
Organization, the state is planning significant investment in a
system to handle all public health crises, improving the responsiveness
and capabilities of emergency centers, treatment and hospital information
systems.
Reform in medical care and changes in the make-up of society have
prompted the spread to most cities of community-based health services
whose major role is anti-epidemic work but which also provide treatment
and healthcare. These popular organizations are geared to handle
at grassroots level problems arising from increased urbanization,
an aging population, changes in disease patterns and social strata.
In 2003, China embarked on a new rural cooperative medical
care system. Based on major illness health insurance coverage, the
system is based on a payment plan by the individual, financial support
from the collective, and subsidies from the government. If farmer
who has joined the scheme is hospitalized, incurred costs can be
reimbursed according on a sliding scale. This medical care system
is expected to cover the whole country in 2010. Meanwhile, China
has implemented a medical-aid system for rural areas offering medical
aid to poor farmers who are seriously ill. A standardized rural
medical-aid system had been established throughout the country by
the end of 2005. The fund, with special allocations from various
levels of government with donations from people from all walks of
life, will be used exclusively for medical aid.
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