• 国家药监局综合司 国家卫生健康委办公厅
  • 国家药监局综合司 国家卫生健康委办公厅

Analysis of Chinas medical insurance settlement policy for remote medical treatment based on policy tools

Corresponding author: huguoheng, nuonuobiya@163.com
DOI: 10.12201/bmr.202511.00039
Statement: This article is a preprint and has not been peer-reviewed. It reports new research that has yet to be evaluated and so should not be used to guide clinical practice.
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    Abstract: Purpose: Systematically review the release status and characteristics of policies related to medical insurance settlement for remote medical treatment in China, providing reference for promoting the convenience of medical insurance settlement services for remote medical treatment and improving management efficiency. Methods: Using content analysis, a two-dimensional framework of “policy objectives–policy tools” was constructed. A total of 127 policy documents were coded and analyzed. Results: Demand-based tools were applied most frequently, followed by environmental and supply-based tools. Policy objectives mainly focused on improving service convenience, supported by expanding coverage and ensuring regulatory security. Conclusion: China’s cross-regional medical insurance settlement policies have improved service accessibility and strengthened institutional supervision while gradually expanding coverage. However, deficiencies remain in assessment refinement and emergency mechanisms. Greater interdepartmental coordination is needed to enhance regulatory linkage and ensure the safe operation of medical insurance funds.

    Key words: Seeking medical treatment in a different location; Policy objectives; Policy tools; policy text

    Submit time: 17 November 2025

    Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  • ID Submit time Number Download
    1 2025-08-27

    10.12201/bmr.202511.00039V1

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wangshiqiang, wanghui, zhangshu, zhangziqi, liyijie, liujiayi, huguoheng. Analysis of Chinas medical insurance settlement policy for remote medical treatment based on policy tools. 2025. biomedRxiv.202511.00039

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