Research Progress of Chinese Public Health System Reform under COVID-19

摘要

Objective To review the research progress of Chinese public health system reform under COVID-19 based on the framework WHO’s building blocks of a health system, key points of this paper is the impact of the epidemic shock on research progress, analyze the main problems existing in present research, and put forward the future research direction and policy suggestions. Methods Researches on Chinese public health system published in Chinese and English language in CNKI, WanFang, PubMed and Web of Science were included using search terms “Public Health”, “Disease Prevention and Control”, “COVID-19”, “China” and combinations of these terms. Results In terms of the provision of public health services, relevant researches mainly focus on hospital and grass-roots level; In regard to the public health workforce, researches mainly focus on the reform of medical education and the mental health of health workforce; in terms of public health information, researches mainly focus on the application of new technology in disease prevention and control; in public health products, vaccines and technologies, researches study the storage and transportation of emergency drugs, the emergency authorization of medical devices and the procedures for drug approval; About health financing, relevant researches focus on the challenge of the epidemic to medical insurance, and even the legalization of hospitals to receive social donations; Finally, in terms of leadership and governance, researches focus on governance system, global health governance and community governance. Conclusion Although the number of relevant researches have been significantly increased, there are still some deficiencies, which will be the focus of future studies: less researches on the accessibility, quality, efficiency and equity of public health system in China; no substantial progress in reform path; ignoring the importance of demand side.