Model Construction Research on Digital Supervision of Medical Insurance Fund from the Perspective of Public Value Creation
- VernacularTitle:面向公共价值创造的医保基金数字监管模型构建研究
- Author:
Jinpeng XU
1
;
Zheng KANG
;
Qi SHI
Author Information
1. 哈尔滨医科大学卫生管理学院 黑龙江哈尔滨 150081
- Keywords:
medical insurance fund;
digital supervision;
public value
- From:
Chinese Hospital Management
2024;44(4):18-22
- CountryChina
- Language:Chinese
-
Abstract:
Digital supervision of the medical insurance fund is the process of using digital information technology to map real-world medical scenarios and activities into the digital world,in which the medical insurance fund is super-vised and managed.The objectives of digital supervision include not only ensuring the safe and rational use of the medical insurance fund,but also promoting the quality of medical services,safeguarding the public's rights and interests,ensuring the long-term sustainability of the medical insurance system,and promoting social equity and stability at multiple levels.Based on the theory of Public Value theory,it interprets and explores the model and critical path of digital supervision of China's medical insurance fund from the three dimensions of Public Value Proposition,Autho-rizing Environment,and Operational Capacity,which concludes that the key to digital supervision of medical insurance funds lies in the search for consistency and balance between the three of real-world value objectives.Digital regulation should be oriented towards public value creation and return to value rationality;strengthen institutional design and build a pluralistic governance pattern for digital regulation;and strengthen core capacity building to make up for the shortcomings of digital regulatory capacity.The public value of digital supervision should be created from three as-pects:concept optimization,support and guarantee,and capacity improvement.The public value of digital supervision should be created from three aspects:concept optimization,support and guarantee,and capacity improvement.
