ɪn tʃˈaɪnə, wˌɛɹ ˌɛfˌɛfˈɛs ɹɪzˈʌltᵻd ɪn kˈɔstli, ɪnɪfˈɪʃənt, ænd pˈʊɹ kwˈɔlᵻɾi hˈɛlθ kˈɛɹ wɪð ɐ dᵻdʒˌɛnɚɹˈeɪʃən ɪn mˈɛdɪkəl ˈɛθɪks, ɹᵻfˈɔːɹmz hɐvbɪn ɪnˈɪʃɪˌeɪɾᵻd tə ɹˌiːɐlˈaɪn hˈɛlθ kˈɛɹ pɹəvˈaɪdɚɹ ɪnsˈɛntɪvz.
In China, where FFS resulted in costly, inefficient, and poor quality health care with a degeneration in medical ethics, reforms have been initiated to realign health care provider incentives.