Research on Obstacles Factors of Public Participation in the Supervision of Medical Insurance Funds in Chi-na and Cracking Strategies
- VernacularTitle:我国公众参与医保基金监管阻碍因素与破解策略研究
- Author:
Jinpeng XU
1
;
Fei'er CHENG
1
;
Zheng KANG
1
Author Information
1. 哈尔滨医科大学卫生管理学院 黑龙江 哈尔滨 150081
- Publication Type:Journal Article
- Keywords:
public;
medical insurance funds supervision;
obstacles factor
- From:
Chinese Hospital Management
2025;45(10):54-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify and analyze the obstacles to public participation in the supervision of medical insurance funds,distill their commonalities,and propose strategies to break them down.Methods The preliminary obstacles were obtained through literature research and interviews with 22 public,modified and perfected through consultation with 12 experts and the fuzzy Delphi method,and the dimensions of each obstacle were determined through 200 questionnaires and factor analysis.Results Public participation in medical insurance funds supervision is hindered by 18 factors,including"medical insurance knowledge is too specialized,unable to participate","lack of understanding of policies related to medical insurance funds supervision",and"inability to identify fraudulent insurance behaviors".They can be categorized into four dimensions:costs and consequences of participation,subjective factors of participation,knowledge of medical insurance funds supervision,and external environment factors,with a cumulative contribution rate of 68.034%.Conclusion The four dimensions constitute the main obstacles to public participation in the supervision of medical insurance funds.Efforts should be made from the aspects of reducing the cost of participation,safeguarding the consequences,enhancing the awareness,improving the knowledge,and creating a social atmosphere,to form a coordinated system of supervision of medical insurance funds.
