The Performance of Primary Healthcare in China: The Need for a Systematic Design for Improvement Comment on "Quality and Performance Measurement in Primary Diabetes Care: A Qualitative Study in Urban China"

In the paper "Quality and Performance Measurement in Primary Diabetes Care: A Qualitative Study Urban China," Rasooly colleagues provide an in-depth analysis of ways which Shanghai manages quality performance primary healthcare (PHC). The present commentary extends analytical perspective offered this from city to entire Chinese Mainland. so doing, it points out certain systemic shortcomings capabilities family doctors, unreasonable competition between primary, secondary, tertiary forms healthcare, negative incentives salary system for PHC providers that must be overcome improve performance. This also proposes strategies other recommendations overcoming bottlenecks identified as a means systematically enhancing across Mainland China.