The path of coordinated use of medical insurance funds and public health funds under the perspective of Healthy China
10.3969/j.issn.1674-2982.2024.10.001
- VernacularTitle:健康中国视角下医保基金与公卫资金统筹使用路径研究
- Author:
Ye CHEN
1
;
Jin-Xi DING
Author Information
1. 中国药科大学国际医药商学院 江苏 南京 211198;中国药科大学医药市场准入政策研究中心 江苏 南京 211198
- Keywords:
Medical insurance funds;
Public health funds;
Coordinated use;
Synergistic advantage
- From:
Chinese Journal of Health Policy
2024;17(10):1-8
- CountryChina
- Language:Chinese
-
Abstract:
The integrated use of health insurance funds and public health funds is the driving force for promoting service integration and continuously advancing the construction of a"Healthy China".Based on the synergistic advantage theory and the PCIC theory,this paper proposes three paths to promote the integrated use:rationalizing the functional position and service supply of the two parties,optimizing the payment and incentive mechanism,and strengthening the capacity building of service buyers.Based on the above path perspective,this paper finds that the current domestic exploration and practice of coordinated use has achieved certain results,but there are also problems such as unclear funding sources,unclear scope of purchased services,insufficient coordination of multi-subject assessment incentives,weak correlation with health outputs,insufficient cost accounting and health measurement assessment capabilities,and imperfect information system interconnection.It is recommended to improve the top-level design,establish an assessment and payment incentive mechanism related to health outcomes,and realize the dynamic construction of fund expansion and informatization.
