Construction and operation of the multi-level medical security system of the West China Women and Children Alliance
10.3760/cma.j.cn111325-20230913-00153
- VernacularTitle:华西妇儿联盟多层次医疗保障体系的建设与运作
- Author:
Jia LIU
1
;
Tianyu JIANG
;
Hanmin LIU
;
Ying SHAN
;
Shihao ZHANG
;
Lianrui XIANG
;
Yuanjie LIU
Author Information
1. 四川大学华西第二医院公共事业发展部，成都 610041
- Keywords:
Medical security;
Specialty alliance;
Medical mutual aid;
Multi-level medical security system;
Hierarchical diagnosis and treatment
- From:
Chinese Journal of Hospital Administration
2024;40(1):12-16
- CountryChina
- Language:Chinese
-
Abstract:
Medical mutual aid is an important component of multi-level medical security system. West China Second University Hospital of Sichuan University led the establishment of the pediatric specialty alliance " West China Women and Children Alliance". Based on customized and inclusive mutual insurance product " Family Doctor Mutual Aid Plan", the alliance implemented key links such as mutual aid product forms, patient risk protection, institutional financing and hematopoiesis, and distribution of benefits to all parties, explored innovative mutual aid funding, payment, and incentive mechanisms, forming a closed-loop pediatric tiered diagnosis and treatment service system with the Mutual Aid Plan as the core. This system operated continuously under the " Four-in-One" framework, stimulating the integration of medical insurance and service supply systems while enhancing the synergistic effect between mutual insurance and social security. It has formed a distinctive health-centered multi-level medical security system within the alliance, and could provide reference for the construction and exploration of hierarchical diagnosis and treatment system.
