Study on policy texts in the field of medical insurance payment system and treatment in China from the perspective of policy tools

Corresponding author: chengyingyao, yychen@shmu.edu.cn

DOI: 10.12201/bmr.202402.00006

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  Abstract: 【】Objective: To analyze the release and distribution characteristics of Chinese medical insurance payment policies, and to provide reference for future policy formulation in the field of medical insurance payment construction. Methods: Content analysis method was used to construct a two-dimensional framework of policy goals-policy tools, and text analysis was carried out according to 63 policy documents. Results: A total of 493 policy codes were completed. From the perspective of policy goals, the policy objectives of Chinese medical insurance payment mainly focused on three aspects: improving the payment level, optimizing the medical insurance environment, and standardizing the supervision regulations. From the perspective of policy tools, environmental policy tools are the most used policy tools, followed by supply and demand tools. There is a shortage of financial input and talent training in all policy objectives, so more attention should be paid to demonstration and Category of payment. Conclusion: Our country puts forth effort to build a perfect medical insurance payment system, but should further strengthen policy content supplement, optimize the structure of policy tools, and give full play to the payment ability of medical insurance when pulling the demand of medical insurance payment and driving the supply of medical insurance payment.

  Key words: Medical insurance; Payment; Policy tools; Policy document

  Submit time: 21 February 2024

  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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