通讯作者: 王红波, whb2020@ruc.edu.cn

DOI：10.12201/bmr.202207.00032

The historical approach, evolution logic and future prospect of Chinas Medical Security Supervision—— Based on the analysis of Historical Institutionalism

• 摘要：对我国近70年医保监管的制度变迁进行适时总结能够为全民医保时代的医保监管改革提供借鉴。基于建国以来医保监管政策文本的分析,将我国医保监管分为分散自主监管期、初步集中监管期、整合探索监管期和集中多元监管期四个阶段,并分别从监管主体、监管内容和监管方式三个层面对各阶段的监管特征进行了总结。在此基础上,运用历史制度主义理论审视医保监管变迁过程,发现宏观制度变革、政治变量更新和政府职能转变为医保监管变迁提供了结构性动力,而路径依赖和关键节点在医保监管变迁的历史性维度中扮演了重要角色。未来我国医保监管应当提高监管机构的独立性、培养风险监管和服务监管的理念、强化协同监管机制并着力打造智慧医保监管。

  关键词： 医保监管; 全民医保; 历史制度主义

   

  Abstract: A timely summary of the institutional changes of Chinas medical security supervision in the past 70 years can provide reference for the reform of medical security supervision in the era of universal medical security. Based on the analysis of the policy texts of Medical Security Supervision issued by the central ministries and commissions since the founding of the peoples Republic of China, the medical security supervision in China is divided into four stages: the decentralized and independent supervision period , the initial centralized supervision period of separation , the integrated exploration supervision period and the centralized multiple supervision period. This paper summarizes the characteristics of supervision in different stages from three levels of supervision subject, supervision content and supervision mode. On this basis, the historical institutionalism theory is used to examine the process of medical security regulatory change. It is found that the macro institutional change, the renewal of political variables and the transformation of government functions provide structural power for the change of medical security regulatory, and path dependence and key nodes play an important role in the historical dimension of medical security regulatory change. Chinas medical security supervision should improve the independence of regulatory agencies, cultivate the concept of risk supervision and service supervision, strengthen the collaborative supervision mechanism, and strive to build smart medical security supervision.

  Key words: Medical security supervision; universal medical security; historical institutionalism

  提交时间：2022-07-15

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2022-06-06	10.12201/bmr.202207.00032V1	下载

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