Policy text analysis and its implications of prefectural-level basic medical insurance risk pooling in China from the perspective of policy tools
10.3969/j.issn.1674-2982.2024.05.004
- VernacularTitle:政策工具视角下我国基本医保市级统筹推进的政策文本分析与启示
- Author:
Xiao-Li ZHU
1
;
Xin-Yue HUANG
;
Yu-Heng WANG
Author Information
1. 中国医学科学院医学信息研究所 卫生政策与管理研究中心 北京 100020
- Keywords:
Basic medical insurance;
Prefectural-level risk pooling;
Policy tools;
Content analysis
- From:
Chinese Journal of Health Policy
2024;17(5):25-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To make a quantitative analysis of the policy tools of 261 prefectural-level basic medical insurance risk pooling policy text,analyze the distribution characteristics in dimensions including phases,tools and objectives,so as to provide references for the optimization of China's basic medical insurance risk pooling policy.Methods:Content analysis and quantitative analysis method were performed,a three-dimensional framework of"tools(X-dimension)-objectives(Y-dimension)-phases(Z-dimension)"was constructed,which was used to perform multi-dimensional classification and cross-comparison analysis on policy items.Results:According to the X-dimension,environmental and demand-based policy tools were constantly improving,but partial policy sub-tools are seriously missing.From the Y-dimension,policy objectives covered multiple dimensions but failed to complement each other.From the Z-dimension,the use of policy tools in different stages shows the characteristics of gradual progressive and hierarchical diffusion.policy suggestions are put forward:Optimize the combination of various policy tools,improve the adaptability of policy content and objectives,and form inter-dimensional policy synergy.On the basis of the summarized experience in the application of policy tools,providing references for provincial-level basic medical insurance risk pooling in China.
