<p>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 &amp; 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 &amp; technologies; (4) establish a comprehensive tracking, monitoring, and evaluation system.</p>

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

  • Tingting Cai,
  • Hongbin Yu,
  • Yunliang Yao,
  • Yunhui Xia,
  • Zhou Zhou,
  • Jiantong Shen,
  • Jianlin Lou

摘要

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.