Issue characteristics, evolutionary trends, and knowledge production in health insurance fund regulation policies
10.3760/cma.j.cn111325-20230611-00465
- VernacularTitle:医保基金监管政策议题属性、演进趋势与知识生产
- Author:
Ciran YANG
1
;
Linqi XIAO
;
Ruonan WU
;
Rui WANG
;
Qiuling ZHAO
;
Fengran DUAN
;
Yue WANG
;
Zongfu MAO
;
Dan CUI
Author Information
1. 武汉大学公共卫生学院 武汉大学全球健康研究中心，武汉 430071
- Keywords:
Health insurance fund regulation;
Policy study;
Policy issues;
Policy evolution;
Knowledge production
- From:
Chinese Journal of Hospital Administration
2024;40(4):316-322
- CountryChina
- Language:Chinese
-
Abstract:
Health insurance fund regulation (HIFR) is a vital issue in the modernization of healthcare security governance, with its importance as a primary task of the healthcare security department continually reinforced in policy practice. This study focused on the 22 specialized policies issued by the National Healthcare Security Administration from its establishment in 2018 to March 2024, deeply analyzed their issue characteristics, and summarized the evolutionary trends of policy changes, as well as the knowledge production patterns that existed in the series of policy formulation, implementation, and feedback processes. Our analysis revealed that the diverse issue characteristics had led to heterogeneous directions in HIFR policies. The policy development process presented distinct composite evolutionary trends, mainly manifested in four aspects: the integration of regulatory system and content, the convergence of professional and societal forces, the parallelism of special governance and regular supervision, and the complementarity of conventional and emerging methods. Additionally, the study demonstrated that the knowledge production embedded in policy evolution encompassed four different dimensions: problem rectification, norm setting, pilot experience, and technical absorption. Together with issue characteristics and policy evolution, they formed an integrated, dynamic, and open system of knowledge production, continuously promoting the renewal and iteration of regulation policies.
