The Construction of the"Chain-Net"Governance System of Hospital Medical Insurance under the Per-spective of System Theory
- VernacularTitle:系统论视角下医院医保"链-网"治理体系的构建
- Author:
Lizhong LIANG
1
,
2
;
Liyun ZHU
;
Zhirong ZENG
Author Information
1. 广东医科大学湾区医疗保障与现代医院治理研究院 广东 湛江 524023
2. 广东医科大学附属医院 广东 湛江 524023
- Keywords:
the"chain-net"governance system of hospital medical insurance;
system theory;
synergistic governance on"healthcare,insurance and pharmaceutical"sectors of modern hospital governance
- From:
Chinese Hospital Management
2024;44(8):63-67,76
- CountryChina
- Language:Chinese
-
Abstract:
Under the structural pressure of aging acceleration and increased chronic disease burden,in order to implement the reform tasks of"promoting healthcare,insurance and pharmaceutical sectors coordinated develop-ment and governance"proposed by the 20th National Congress of the Communist Party of China,it is urgent to build a medical insurance governance system that is adapted to the"Synergistic goverance on healthcare,insurance and pharmaceutical sectors".In order to break the single,fragmented,and passive medical insurance management methods in the past,according to the theoretical framework of system theory,it proposes the"chain-net"gover-nance system of hospital medical insurance built by the policy responsibility chain,information process chain,col-laborative consensus chain,inspection evaluation chain,and performance value chain,and analyzes,the implemen-tation path,necessity and completeness and support elements of this system.