In their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizatio...

THE PROSPECT OF HEALTH REFORM HAS UNLEASHED A FRENZY OF activity in healthcare: mergers, consolidations, alliances, physician-hospital organization development, practice acquisition, and the like. These strategies assume managed care-based reform, in which funding for those who are newly enfranchised will flow not to individual providers, but to systems and networks. This assumption is probably...

After six years' medical reform, about 7.8 billion person-times of medical service has been achieved by 2014, and the number of persons covered by basic medical insurance for urban employees, basic medical insurance for urban residents, and new rural cooperative medical insurance exceeded 1.3 billion, of which the coverage ratio reached as high as over 95%, establishing the largest basic medica...