1. Brief topical review of challenges facing the China health care system as it relates to referrals and consultation with particular emphasis on the health care financing and information technology systems that support current practice allowing patients to be referred from one health care provider to another. 2. Overview of health systems in the 5 countries of interest (UK, US, Japan, Thailand, Germany), including key health indicators, macro features of the health system, trend of health expenditure in recent years.

Report for the Directorate Research Council with in the State Council.

The consultation and report supports Chinese governments plans to reform its primary care capabilities and support more efficient use of referrals and consultation.