Academic Journal

A scoping review of national policies for healthy China from 2008 to 2024.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: A scoping review of national policies for healthy China from 2008 to 2024.
Συγγραφείς: Cai T; Medical School of Huzhou Normal University, Huzhou, 313000, China., Yu H; The Third Affiliated Hospital of Huzhou Normal University (Huzhou Third People's Hospital), Huzhou, 313000, China., Yao Y; Medical School of Huzhou Normal University, Huzhou, 313000, China., Xia Y; Medical School of Huzhou Normal University, Huzhou, 313000, China., Zhou Z; Medical School of Huzhou Normal University, Huzhou, 313000, China., Shen J; Medical School of Huzhou Normal University, Huzhou, 313000, China. sjiantong@163.com.; Huzhou Key Laboratory for Precision Prevention and Control of Major Chronic Diseases, Huzhou Normal University, Huzhou, 313000, China. sjiantong@163.com., Lou J; Huzhou Key Laboratory for Precision Prevention and Control of Major Chronic Diseases, Huzhou Normal University, Huzhou, 313000, China. jianlinlou@163.com.
Πηγή: BMC public health [BMC Public Health] 2026 Apr 14; Vol. 26 (1). Date of Electronic Publication: 2026 Apr 14.
Τύπος έκδοσης: Journal Article; Scoping Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, [2001-
Ιατρικοί όροι (MeSH): Health Policy*, Delivery of Health Care/organization & administration ; China ; Humans ; Policy Making
Περίληψη: This study reviews all relevant national policies related to the Healthy China Strategy from 2008 to 2024 and identifies potential policy gaps from a health systems perspective. A scoping review was conducted. Out of 7,591 policies, 306 were included. Essential data were extracted and mapped. Over 60 ministries were involved in policy-making, with multisectoral cooperation becoming a key trend. The National Health Commission and the National Administration of Traditional Chinese Medicine were identified as the primary leading ministries. To identify priorities and relationships, thematic content analysis was applied, which included the four systems, five reform pillars, and six domains. While several areas, such as leadership & governance, health workforce, and service delivery, received strong policy support, other components of the health system received limited coverage. Based on the findings, the following four policy recommendations are proposed: (1) facilitate multisectoral collaboration; (2) develop a unified policy system focused on Healthy China 2030; (3) strengthen health system building blocks, such as financing, health information, and medicine & technologies; (4) establish a comprehensive tracking, monitoring, and evaluation system.
Competing Interests: Declarations. Ethics approval and consent to participate: Ethical approval for this type of study is not required by our institute. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
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Wagstaff A, Neelsen S. A comprehensive assessment of universal health coverage in 111 countries: a retrospective observational study. Lancet Global Health. 2020;8(1):e39–49. (PMID: 10.1016/S2214-109X(19)30463-231837954)
Ren M, Zhang T, Xu J, et al. Building quality primary health care development in the new era towards universal health coverage: a Beijing initiative. Glob Health Res Policy. 2023;8(1):53. (PMID: 10.1186/s41256-023-00341-y3810528410726680)
Nikoloski Z, McGuire A, Mossialos E. Evaluation of progress toward universal health coverage in myanmar: A National and subnational analysis. PLoS Med. 2021;18(10):e1003811. (PMID: 10.1371/journal.pmed.1003811346531838519424)
Yang D, Nikoloski Z, Khalid G, Mossialos E. Pakistan’s path to universal health coverage: National and regional insights. Int J Equity Health. 2024;23(1):162. (PMID: 10.1186/s12939-024-02232-13914805711325752)
Tangcharoensathien V, Tisayaticom K, Suphanchaimat R, Vongmongkol V, Viriyathorn S, Limwattananon S. Financial risk protection of thailand’s universal health coverage: results from series of National household surveys between 1996 and 2015. Int J Equity Health. 2020;19(1):163. (PMID: 10.1186/s12939-020-01273-6329580647507254)
Damrongplasit K, Melnick G. Utilisation, out-of-pocket payments and access before and after COVID-19: Thailand’s Universal Health Coverage Scheme. BMJ Glob Health. 2024;9(5):e015179.
Yip W, Fu H, Chen AT, et al. 10 years of health-care reform in china: progress and gaps in universal health coverage. Lancet. 2019;394(10204):1192–204. (PMID: 10.1016/S0140-6736(19)32136-131571602)
Tao W, Zeng Z, Dang H, et al. Towards universal health coverage: lessons from 10 years of healthcare reform in China. BMJ Glob Health. 2020;5(3):e002086. (PMID: 10.1136/bmjgh-2019-002086322574007103824)
Li Y, Zhang C, Zhan P, Fu H, Yip W. Trends and projections of universal health coverage indicators in China, 1993–2030: an analysis of data from four nationwide household surveys. Lancet Reg Health West Pac. 2023;31:100646. (PMID: 36419465)
Zhou Y, Li C, Wang M, et al. Universal health coverage in china: a serial National cross-sectional study of surveys from 2003 to 2018. Lancet Public Health. 2022;7(12):e1051–63. (PMID: 10.1016/S2468-2667(22)00251-136462516)
National Health Commission. Research report on the. Healthy China 2020 strategy. 2008. https://www.gov.cn/gzdt/2012-08/17/content_2205978.htm . Accessed 2024 11.
Dong B, Zou Z, Song Y, et al. Adolescent health and healthy China 2030: A review. J Adolesc Health. 2020;67(5s):S24–31. (PMID: 10.1016/j.jadohealth.2020.07.02333246530)
Meng Q, Yin D, Mills A, Abbasi K. China’s encouraging commitment to health. BMJ. 2019;365:l4178. (PMID: 10.1136/bmj.l4178312275196598728)
State Council. Healthy China 2030 Planning Outline. 2016. https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm . Accessed 2024 11.
Bragg F, Halsey J, Guo Y, et al. Blood pressure and cardiovascular diseases in Chinese adults with type 2 diabetes: A prospective cohort study. Lancet Reg Health West Pac. 2021;7:100085. (PMID: 343274158315364)
Jiang Z, Jiang W. Health education in the healthy China initiative 2019–2030. China CDC Wkly. 2021;3(4):78–80. (PMID: 10.46234/ccdcw2021.018345950078393088)
Chen P, Li F, Harmer P. Healthy China 2030: moving from blueprint to action with a new focus on public health. Lancet Public Health. 2019;4(9):e447. (PMID: 10.1016/S2468-2667(19)30160-431493840)
Yip W, Fu H, Jian W, et al. Universal health coverage in China part 1: progress and gaps. Lancet Public Health. 2023;8(12):e1025–34. (PMID: 10.1016/S2468-2667(23)00254-238000882)
OECD. Health Statistics. Organisation for Economic Co-operation and Development. 2023. https://stats.oecd.org/Index.%20aspx?DataSetCode=HEALTH_PROC . Accessed 2024 11.
National Bureau of Statistics. Health and health undertakings have made great strides in the development of people’s health rights and interests are effectively safeguarded. 2024. https://www.gov.cn/lianbo/bumen/202409/content_6976411.htm . Accessed 2024 11.
Xinhua News Agency. An overview of the development of health care in the 75th anniversary of the founding of New China.2024. https://www.gov.cn/yaowen/liebiao/202409/content_6975418.htm . Accessed 2024 11.
Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73. (PMID: 10.7326/M18-085030178033)
Yang C, Huang C. Quantitative mapping of the evolution of AI policy distribution, targets and focuses over three decades in China. Technol Forecast Soc Chang. 2022;174:121188. (PMID: 10.1016/j.techfore.2021.121188)
World Health Organization (WHO). Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies. Geneva: WHO; 2010.
Xiong S, Cai C, Jiang W, et al. Primary health care system responses to non-communicable disease prevention and control: a scoping review of National policies in Mainland China since the 2009 health reform. Lancet Reg Health West Pac. 2023;31:100390. (PMID: 36879784)
Wu J, Wang K, He C, Huang X, Dong K. Characterizing the patterns of china’s policies against COVID-19: A bibliometric study. Inf Process Manag. 2021;58(4):102562. (PMID: 10.1016/j.ipm.2021.102562336789417923916)
Ye P, Jin Y, Er Y, et al. A scoping review of National policies for healthy ageing in Mainland China from 2016 to 2020. Lancet Reg Health West Pac. 2021;12:100168. (PMID: 345279658356098)
Jin Y, Ye P, Tian M, et al. A scoping review of National policies for child road injury in China. Lancet Reg Health West Pac. 2024;46:101079. (PMID: 3872634811079522)
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Grant Information: 20BTQ042 National Social Science Fund of China
Contributed Indexing: Keywords: China; Healthy China; Policy document; Policy review; Scoping review
Entry Date(s): Date Created: 20260413 Date Completed: 20260627 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13245047
DOI: 10.1186/s12889-026-26396-3
PMID: 41975331
Βάση Δεδομένων: MEDLINE
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  Data: A scoping review of national policies for healthy China from 2008 to 2024.
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  Data: <searchLink fieldCode="AU" term="%22Cai+T%22">Cai T</searchLink>; Medical School of Huzhou Normal University, Huzhou, 313000, China.<br /><searchLink fieldCode="AU" term="%22Yu+H%22">Yu H</searchLink>; The Third Affiliated Hospital of Huzhou Normal University (Huzhou Third People's Hospital), Huzhou, 313000, China.<br /><searchLink fieldCode="AU" term="%22Yao+Y%22">Yao Y</searchLink>; Medical School of Huzhou Normal University, Huzhou, 313000, China.<br /><searchLink fieldCode="AU" term="%22Xia+Y%22">Xia Y</searchLink>; Medical School of Huzhou Normal University, Huzhou, 313000, China.<br /><searchLink fieldCode="AU" term="%22Zhou+Z%22">Zhou Z</searchLink>; Medical School of Huzhou Normal University, Huzhou, 313000, China.<br /><searchLink fieldCode="AU" term="%22Shen+J%22">Shen J</searchLink>; Medical School of Huzhou Normal University, Huzhou, 313000, China. sjiantong@163.com.; Huzhou Key Laboratory for Precision Prevention and Control of Major Chronic Diseases, Huzhou Normal University, Huzhou, 313000, China. sjiantong@163.com.<br /><searchLink fieldCode="AU" term="%22Lou+J%22">Lou J</searchLink>; Huzhou Key Laboratory for Precision Prevention and Control of Major Chronic Diseases, Huzhou Normal University, Huzhou, 313000, China. jianlinlou@163.com.
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  Data: <searchLink fieldCode="JN" term="%22100968562%22">BMC public health</searchLink> [BMC Public Health] 2026 Apr 14; Vol. 26 (1). <i>Date of Electronic Publication: </i>2026 Apr 14.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22BioMed+Central%22">BioMed Central </searchLink><i>Country of Publication: </i>England <i>NLM ID: </i>100968562 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1471-2458 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2214712458%22">14712458 </searchLink><i>NLM ISO Abbreviation: </i>BMC Public Health <i>Subsets: </i>MEDLINE
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  Label: Abstract
  Group: Ab
  Data: This study reviews all relevant national policies related to the Healthy China Strategy from 2008 to 2024 and identifies potential policy gaps from a health systems perspective. A scoping review was conducted. Out of 7,591 policies, 306 were included. Essential data were extracted and mapped. Over 60 ministries were involved in policy-making, with multisectoral cooperation becoming a key trend. The National Health Commission and the National Administration of Traditional Chinese Medicine were identified as the primary leading ministries. To identify priorities and relationships, thematic content analysis was applied, which included the four systems, five reform pillars, and six domains. While several areas, such as leadership & governance, health workforce, and service delivery, received strong policy support, other components of the health system received limited coverage. Based on the findings, the following four policy recommendations are proposed: (1) facilitate multisectoral collaboration; (2) develop a unified policy system focused on Healthy China 2030; (3) strengthen health system building blocks, such as financing, health information, and medicine & technologies; (4) establish a comprehensive tracking, monitoring, and evaluation system.
– Name: Abstract
  Label: Competing Interests
  Group: Ab
  Data: Declarations. Ethics approval and consent to participate: Ethical approval for this type of study is not required by our institute. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
– Name: Ref
  Label: References
  Group: RefInfo
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(PMID: <searchLink fieldCode="PM" term="%2210%2E1186%2Fs41256-023-00341-y3810528410726680%22">10.1186/s41256-023-00341-y3810528410726680)</searchLink><br />Nikoloski Z, McGuire A, Mossialos E. Evaluation of progress toward universal health coverage in myanmar: A National and subnational analysis. PLoS Med. 2021;18(10):e1003811. (PMID: <searchLink fieldCode="PM" term="%2210%2E1371%2Fjournal%2Epmed%2E1003811346531838519424%22">10.1371/journal.pmed.1003811346531838519424)</searchLink><br />Yang D, Nikoloski Z, Khalid G, Mossialos E. Pakistan’s path to universal health coverage: National and regional insights. Int J Equity Health. 2024;23(1):162. (PMID: <searchLink fieldCode="PM" term="%2210%2E1186%2Fs12939-024-02232-13914805711325752%22">10.1186/s12939-024-02232-13914805711325752)</searchLink><br />Tangcharoensathien V, Tisayaticom K, Suphanchaimat R, Vongmongkol V, Viriyathorn S, Limwattananon S. Financial risk protection of thailand’s universal health coverage: results from series of National household surveys between 1996 and 2015. Int J Equity Health. 2020;19(1):163. (PMID: <searchLink fieldCode="PM" term="%2210%2E1186%2Fs12939-020-01273-6329580647507254%22">10.1186/s12939-020-01273-6329580647507254)</searchLink><br />Damrongplasit K, Melnick G. Utilisation, out-of-pocket payments and access before and after COVID-19: Thailand’s Universal Health Coverage Scheme. BMJ Glob Health. 2024;9(5):e015179.<br />Yip W, Fu H, Chen AT, et al. 10 years of health-care reform in china: progress and gaps in universal health coverage. Lancet. 2019;394(10204):1192–204. (PMID: <searchLink fieldCode="PM" term="%2210%2E1016%2FS0140-6736%2819%2932136-131571602%22">10.1016/S0140-6736(19)32136-131571602)</searchLink><br />Tao W, Zeng Z, Dang H, et al. Towards universal health coverage: lessons from 10 years of healthcare reform in China. BMJ Glob Health. 2020;5(3):e002086. 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Adolescent health and healthy China 2030: A review. J Adolesc Health. 2020;67(5s):S24–31. (PMID: <searchLink fieldCode="PM" term="%2210%2E1016%2Fj%2Ejadohealth%2E2020%2E07%2E02333246530%22">10.1016/j.jadohealth.2020.07.02333246530)</searchLink><br />Meng Q, Yin D, Mills A, Abbasi K. China’s encouraging commitment to health. BMJ. 2019;365:l4178. (PMID: <searchLink fieldCode="PM" term="%2210%2E1136%2Fbmj%2El4178312275196598728%22">10.1136/bmj.l4178312275196598728)</searchLink><br />State Council. Healthy China 2030 Planning Outline. 2016. https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm . Accessed 2024 11.<br />Bragg F, Halsey J, Guo Y, et al. Blood pressure and cardiovascular diseases in Chinese adults with type 2 diabetes: A prospective cohort study. Lancet Reg Health West Pac. 2021;7:100085. (PMID: <searchLink fieldCode="PM" term="%22343274158315364%22">343274158315364)</searchLink><br />Jiang Z, Jiang W. Health education in the healthy China initiative 2019–2030. 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        Text: English
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              Text: 2026 Apr 14
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