Objectives: To examine differences in health system re sponsiveness across different secto rs in China and to compare to other Asian coun-tries. Methods: The World Health Survey was implemented in a nationally representative sam- ple in China and 10 additional Asian countries from 2002-2003. Face-to-face interviews were conducted to gather health care utilization and health systems responsiveness data. Results: Overall health system responsiveness in China was better for the inpatient than the outpatient health system. Differences were seen by do-main, with pr ompt a tte nti on a nd re spec tful treat- ment performing better than the other domains. Differences in responsiveness were seen by socio-demographic characteristics, w ith women and younger respondents rating inpatient sys-tems, whereas men and higher educated respon-dents rated outpat ient systems, more re sponsive. Conclusions: As populations age, health care systems will come under more pressures—res- ponsiveness can be used by governments to guide policy and system improvement efforts when resources are limited. In China, reforms might prioritize outpatient system responsive-ness.