Primary health care in China: problems and challenges

T. Gao, K. Shiwaku, N. Hojo, Anuurad Erdembileg, Y. Yamane

Research output: Contribution to journalArticlepeer-review


The World Health Organization (WHO) put forward a global strategy goal of "Health for All by year 2000" and pointed out the task of achieving this based on the primary health care (PHC) during the Alma-Ate Conference in 1978. The government of China have endorsed the WHO agreement and performed much work toward it. However, the gap between urban areas and rural areas is widening. The accomplishment of the goal of "Health for All by the year 2000" is still a critical task in China. In this study, main health problems, government policies and measures on the framework of quality of life, health status, lifestyle and health-supporting environment, medical, health and welfare system and health policies in PHC of China were diagnosed and evaluated according to the "diagnosis and evaluation for health promotion" by Green and Kreuter (1991). Japanese experiences in a combined medical, health and welfare system, elderly care, environmental protection and health education are very helpful to strengthen PHC in China. A new partnership for "Health for All" between Japan and China to achieve the goal of "Health for All by the year 2000" is imperative.

Original languageEnglish (US)
Pages (from-to)320-327
Number of pages8
Journal[Nippon kōshū eisei zasshi] Japanese journal of public health
Issue number4
StatePublished - 1999
Externally publishedYes


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