Coordination and integration of medical care and insurance systems from the perspective of complex system governance
10.3969/j.issn.1674-2982.2025.05.001
- VernacularTitle:复杂系统治理视角下医疗与医保协同整合
- Author:
Qing-yue MENG
1
Author Information
1. 北京大学中国卫生发展研究中心 北京 100191;海南健康发展研究院 海南 海口 570311;海南医科大学管理学院 海南 海口 571199
- Publication Type:Journal Article
- Keywords:
Complex system;
Governance;
Medical care and insurance;
Coordination and integration
- From:
Chinese Journal of Health Policy
2025;18(5):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Based on complex system governance theory,this article analyzes the major issues of coordination and integration of medical care system and social medical insurance system,indicating that the mechanisms of control,communication,coordination and integration are not well established.Four policy recommendations are suggested:deepening integration of medical care and insurance systems to better achieve"health-centered"strategy,promoting coordination in reform of provider payment systems to leverage their role in construction of high-quality and efficient medical care,improving efficiency of communication to build a more integrated health information platform,and improving the power balance between medical care system and medical insurance system to adopt advanced financing and service governance system.
