Construction of a Theoretical Framework for the Performance Assessment of Basic Medical Insurance Designated Medical Institutions Based on the Objectives of Medical Insurance Policy
- VernacularTitle:基于医保政策目标的基本医保定点医疗机构履约考核理论框架构建
- Author:
Qian WANG
1
,
2
;
Ruiming DAI
;
Lin KE
;
Ling CAO
;
Wei ZHANG
;
Mengjiao SHEN
;
Tiantian ZHANG
Author Information
1. 复旦大学社会发展与公共政策学院 上海 200433
2. 复旦大学老龄研究院 上海 200433
- Keywords:
basic medical insurance;
designated medical institutions;
contract enforcement assessment;
conceptual model
- From:
Chinese Hospital Management
2024;44(1):78-82
- CountryChina
- Language:Chinese
-
Abstract:
It collected relative policy documents systematically and analyzed the development process and policy objective evolution of Chinese basic medical insurance system.Based on this,it determined the performance assessment objectives of the designated medical institutions of basic medical insurance and constructed the assessment framework guided by the goal realization.Then,from the perspective of contract management and performance management,it determined the assessment elements of contract enforcement assessment system of designated medical institutions and the logical relationship between the elements,and to construct a conceptual model,which provides a reference for guiding the research of the contract enforcement assessment of the designated medical institutions of basic medical insurance.