international experience has shown the importance of primary care with a focus on prevention to enhance health outcomes a while containing costs the government plans to expand primary care in rural areas by establishing county level hospitals and local health care facilities eggleston in china as in other the briics and developing countries socialinsurance health care systems face the challenge of collecting social security contributions because of large labour market informality and other issues such as lack of information sharing among funds and scarce use of itc the government has launched different initiatives to tackle these problems including the integrated collection of contributions for five social insurance programmes and more advanced use of itc issa