Abstract
Health-related sectors have become increasingly strategic for the structural change that the Chinese government is pursuing. After a brief sketch of the institutional setting, the chapter first illustrates the main health policies, that is the major reforms that China has undertaken with respect to the provision of healthcare and to the financing of healthcare services. Then, the analysis summarises main policies for the health industry, that is the strategic guidelines and the specific interventions targeting health-related manufacturing sectors, with specific reference to the biotechnology industry, traditional Chinese medicine (TCM) and the pharmaceutical sector. The chapter ends with a zoom on the latter, with a specific focus on the restructuring process which has characterised the industry in the last decades by means of mergers and acquisitions.
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Notes
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The indicators are as follows: (1) for the health level: life expectancy at birth, infant mortality rate, under-5 mortality rate, maternal mortality rate and percentage of people meeting the national physical fitness standards; (2) for a healthy life: level of health literacy in the population and number of people doing physical exercise; (3) for health services and security: premature mortality from main non-communicable diseases, number of registered doctors and nurses per 1000 inhabitants and percentage of out-of-pocket expenditure in total health expenditure; (4) for healthy environment: percentage of days with good air quality in cities at the prefecture level or above and percentage of surface water at or above level III; (5) for the health industry: the total size of the sector (Fu et al. 2018).
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References
Ahlstrom, David, Diaohua Yang, Liang Wang, and Changqi Wu. 2018. A Global Perspective of Entrepreneurship and Innovation in China. Multinational Business Review 26 (4): 302–318.
Ahrens, Nathaniel. 2013. China’s Industrial Policymaking Process. Washington DC: Center for Strategic and International Studies.
Barbieri, E., and M. Tassinari. 2017. China’s strategic sectors. Trends in health-related manufacturing. International Journal of Healthcare Technology and Management 16 (1/2): 6–23.
Barbieri, Elisa, Marco R. Di Tommaso, and Stefano Bonnini. 2012. Industrial Policy in Southern China: Beyond the Specialized Industrial Cluster Program. China Economic Review 23 (3): 613–625.
Barbieri, Elisa, Angela Sarcina, Lucia Bazzucchi, and Marco R. Di Tommaso. 2013. Promoting Business Excellence at Local Level: The Case of Guangdong Province, China. Measuring Business Excellence 17 (2): 19–34.
Barbieri, E., M. Huang, P. Shenglei, and M. Tassinari. 2017. Restructuring the production of medicines: An investigation on the pharmaceutical sector in China and the role of mergers and acquisitions. International Journal of Environmental Research and Public Health 14: 1179.
Barbieri, Elisa, Chiara Pollio, and Francesco Prota. 2019. The Impacts of Spatially Targeted Programs: Evidence from Guangdong. Regional Studies. https://doi.org/10.1080/00343404.2019.1635688.
Blumenthal, David, and William Hsiao. 2005. Privatization and Its Discontents—The Evolving Chinese Health Care System. The New England Journal of Medicine 353: 1165–1170.
Butollo, Florian, and Boy Lüthje. 2017. ‘Made in China 2025’: Intelligent Manufacturing and Work. In The New Digital Workplace: How New Technologies Revolutionise Work, ed. Kendra Briken, Shiona Chillas, Martin Krzywdzinski, and Abigail Marks, 42–61. Basingstoke: Palgrave Macmillan.
Cheri, Grace. 2004. The Effect of Changing Intellectual Property on Pharmaceutical Industry Prospects in India and China. London, UK: HSRC.
Cockburn, Iain M., and Rebecca M. Henderson. 2001. Scale and Scope in Drug Development: Unpacking the Advantages of Size in Pharmaceutical Research. Journal of Health Economics 20 (6): 1033–1057.
Comanor, William S. 1965. Research and Technical Change in the Pharmaceutical Industry. Review of Economics and Statistics 47 (2): 182–190.
Dai, Guobin, Fang Deng, Arkalgud Ramaprasad, and Thant Syn. 2016. China’s National Health Policies: An ontological analysis. Online Journal of Public Health Informatics 8 (3): e196.
Davies, Ken. 2013. China Investment Policy: An Update. OECD Working Papers on International Investment, 2013/01.
Deng, Feng, J.H. Lv, H.L. Wang, J.M. Gao, and Z.L. Zhou. 2017. Expanding Public Health in China: An Empirical Analysis of Healthcare Inputs and Outputs. Public Health 142: 73–84.
Di Tommaso, Marco R., Lauretta Rubini, and Elisa Barbieri. 2013. Southern China: Industry, Development and Industrial Policy. London: Routledge.
Di Tommaso, Marco R., Chiara Pollio, Elisa Barbieri, and Lauretta Rubini. 2019. Chinese Industrialization, Planning and Policies: Local Growth and Global Equilibria. In Transforming Industrial Policy for Digital Age: Production, Territories, and Structural Change, ed. Patrizio Bianchi, Clemente Ruiz Durán, and Sandrine Labory, 112–139. Cheltenham: Edward Elgar Publishing.
Dong, B., and B. Torgler. 2013. Causes of corruption: Evidence from China. China Economic Review 26 (1): 152–169.
Enright, M.J., E.E. Scott, and K.-M. Chang. 2005. Regional powerhouse: The greater PRD and the rise of China. Singapore: Wiley.
Fries, James F., C. Everett Koop, Jacque Sokolov, Carson E. Beadle, and Daniel Wright. 1998. Beyond Health Promotion: Reducing Need And Demand For Medical Care. Health Affairs 17 (2): 70–84.
Fu, Wei, Shuli Zhao, Yuhui Zhang, Peipei Chai, and John Goss. 2018. Research in Health Policy Making in China: Out-of-pocket Payments in Healthy China 2030. BMJ 360: k234.
GBR (Global Business Reports). 2018. China Pharmaceuticals. GBR.
General Office of the State Council. 2015. Notice of the General Office of the State Council on the Protection and Development of Chinese Herbal Medicines (2015–2020), Beijing (in Chinese).
———. 2016. Guiding Opinions of the General Office of the State Council on Promoting the Healthy Development of the Pharmaceutical Industry, Beijing (in Chinese).
Government of China. 2015. Protection and Development of Chinese Herbal Medicine, Beijing (in Chinese).
Gryphon Scientific and Rhodium Group. 2019. China’s Biotechnology Development: The Role of US and Other Foreign Engagement. A Report Prepared for the U.S.-China Economic and Security Review Commission. https://www.uscc.gov/sites/default/files/Research/US-China%20Biotech%20Report.pdf
Heilmann, Sebastian, and Lea Shih. 2013. The Rise of Industrial Policy in China, 1978–2012. Harvard-Yenching Institute Working Paper Series 17 (7): 1–24.
Hesketh, Therese, and Wei Xing Zhu. 2004. Health in China: The Healthcare Market. BMJ 314: 1616–1618.
Hu, Z. 2007. A Study on the Equilibrium Exchange Rate and Dislocation Degree of RMB Behavior. World Economy Study 10: 34–40 (in Chinese).
Lagomarsino, Gina, Alice Garabrant, Atikah Adyas, Richard Muga, and Nathaniel Otoo. 2012. Moving Towards Universal Health Coverage: Health Insurance Reforms in Nine Developing Countries in Africa and Asia. The Lancet 380 (9845): 933–943.
Lan, H. 2012. From champion of China to champion of world. Guangzhou: South China University of Technology Press. (In Chinese).
Li, Ling. 2018. China’s Manufacturing Locus in 2025: With a Comparison of “Made-in-China 2025” and “Industry 4.0”. Technological Forecasting and Social Change 135: 66–74.
Ling, Rebecca E., F. Liu, X.Q. Lu, and Wei Wang. 2010. Emerging Issues in Public Health: A Perspective on China’s Healthcare System. Public Health 125 (1): 9–14.
Liu, Yuanli. 2004a. Development of the Rural Health Insurance System in China. Health Policy Plan 19: 159–165.
———. 2004b. China’s Public Health-care System: Facing the Challenges. Bulletin of the World Health Organization 82 (7): 532–538.
Liu, Xielin, and Peng Cheng. 2011. Is China’s Indigenous Innovation Strategy Compatible with Globalization? Honolulu: East-West Center.
Liu, Gordon G., Samantha A. Vortherms, and Xuezhi Hong. 2017. China’s Health Reform Update. Annual Review of Public Health 38: 431–448.
Ma, Jin, Mingshan Lu, and Hude Quan. 2008. From A National, Centrally Planned Health System To A System Based On The Market: Lessons From China. Health Affairs 27 (4): 937–948.
Meng, Qingyue, Honwei Yang, Wen Chen, Qiang Sun, and Xiaoyun Liu. 2015. People’s Republic of China Health System Review. Geneva: WHO.
Ministry of Commerce. 2016. Notice on Issuing the Guidelines for the Development of Pharmaceutical Industry. Beijing (in Chinese).
National People’s Congress. 1996. Five-year plan for China’s economic and social development. Beijing: NPC.
———. 2001. Five-year plan for China’s economic and social development. Beijing: NPC.
———. 2006. Five-year plan for China’s economic and social development. Beijing: NPC.
———. 2011. Five-year plan for China’s economic and social development. Beijing: NPC.
NBS (National Bureau of Statistics). 2013. China Industrial Statistical Yearbook. Accessed September 26, 2017. http://www.stats.gov.cn/tjsj/ndsj/2013/indexeh.htm.
Pace, Noemi. 2013. Riforme del settore sanitario in Cina: rassegna degli effetti sulla domanda di cure sanitarie, spese out-of-pocket e risparmio familiare. In Analisi e strumenti di politica sociale, ed. Dino Rizzi and Francesca Zantomio, 151–175. Venice: Edizioni Ca’ Foscari.
Petti, C., S. Podetti, and L. Rubini. 2013. Innovazione in Cina: chi è il vero imprenditore? L’industria 33 (3): 433–448.
Ramesh, M., Wu Xun, and Alex Jingwei He. 2014. Health governance and healthcare reforms in China. Health Policy and Planning 29 (6): 663–672.
Rubini, Lauretta, Marco R. Di Tommaso, and Elisa Barbieri. 2015. Special Economic Zones and Cluster Dynamics: China. In International Encyclopedia of the Social & Behavioral Sciences, ed. James D. Wright, 2nd ed., 207–212. Amsterdam: Elsevier.
Rubini, Lauretta, Chiara Pollio, and Marco R. Di Tommaso. 2017. Transnational Research Networks in Chinese Scientific Production. An Investigation on Health-industry Related Sectors. International Journal of Environmental Research and Public Health 14: 975–995.
SCC (The State Council of the People’s Republic of China). 2011. 12th Five Year Plan of China’s National Strategic Emerging Industry Development Planning. Beijing, China: The State Council of the People’s Republic of China.
State Council. 2011. The Twelfth Five-Year Plan for the National Economic and Social Development of the People’s Republic of China, Beijing (in Chinese).
———. 2013. Notice of the State Council on Issuing the Development Plan for the Biological Industry, Beijing (in Chinese).
———. 2015. Chine Medicine 13th 5-Year Plan, Beijing (in Chinese).
———. 2016a. The Thirteen Plan for the National Economic and Social Development of the People’s Republic of China, Beijing (in Chinese).
———. 2016b. Notice of the State Council on Issuing 13th Five-Year National Strategic Emerging Industry Development Plan, Beijing (in Chinese).
———. 2016c. Notice of the State Council on Issuing 13th Five-Year National Science and Technology Innovation Plan, Beijing (in Chinese).
———. 2016d. Guidelines for the Development Planning of the Pharmaceutical Industry, Beijing (in Chinese).
———. 2016e. Notice of the State Council on Issuing the Outline of Strategic Planning for the Development of Traditional Chinese Medicine (2016–2030), Beijing (in Chinese).
———. 2016f. Guiding Opinions of the Office of the State Council on Promoting the Healthy Development of the Pharmaceutical Industry, Beijing (in Chinese).
Tan, Xiaodong, Xiangxiang Liu, and H. Haiyan Shao. 2017. Healthy China 2030: A Vision for Health Care. Value in Health Regional Issues 12: 112–114.
Tan, Xiaodong, Yanan Zhang, and Haiyan Shao. 2018. Healthy China 2030, a Breakthrough for Improving Health. Global Health Promotion. https://doi.org/10.1177/1757975917743533.
Thompson, David E. 2001. Get Big Enough (But Not Too Big) to Source Innovation. Research-Technology Management 44 (6): 22–25.
Wang, F. 2015. On the Mechanism of Innovative Network Transferring in Biochemical Pharmaceutical Industry: The Case of Zhanjiang. Scientific Research and Management 2: 48–54. (in Chinese).
World Bank. 2003. World Development Report 2004. Making Services Work for Poor People. Washington, DC: World Bank
Wübbeke, Jost, Mirjam Meissner, Max J. Zenglein, Jaqueline Ives, and Björn Conrad. 2016. Made in China 2025. The Making of a High-tech Superpower and Consequences for Industrial Countries. Mercator Institute for China Studies. Papers on China, n. 2.
Yin, Hongjun, and J. Warren Salmon. 2003. Strategic Restructuring of China’s Pharmaceutical Industry: Mergers and Acquisitions. Journal of Pharmaceutical Marketing and Management 15 (4): 69–84.
Yip, Winnie Chi-Man, and William C. Hsiao. 2009. China’s Health Care Reform: A Tentative Assessment. China Economic Review 20 (4): 613–619.
Yip, Winnie Chi-Man, William C. Hsiao, Wen Chen, Shanlian Hu, Jin Ma, and Alan Maynard. 2012. Early Appraisal of China’s Huge and Complex Health-care Reforms. The Lancet 379 (9818): 833–842.
Yu, Hao. 2015. Universal Health Insurance Coverage for 1.3 Billion People: What Accounts for China’s Success? Health policy 119 (9): 1145–1152.
Zeng, J. 2014. On Development Briefing and Trend Prediction of Chinese Pharmaceutical Sector. Review of Economic Research 32: 4–38 (in Chinese).
Zheng, Guo, Elisa Barbieri, Marco R. Di Tommaso, and Lei Zhang. 2016. Development Zones and Local Economic Growth: Zooming in on the Chinese Case. China Economic Review 38: 238–249.
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Di Tommaso, M.R., Spigarelli, F., Barbieri, E., Rubini, L. (2020). Government Planning and Policy for the Health Industry. In: The Globalization of China’s Health Industry. Palgrave Studies of Internationalization in Emerging Markets. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-46671-8_3
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