Multi-dimensional embedded mechanisms in the synergistic development of county health insurance and healthcare services under the"strengthening primary care"strategy:A case study of Qianjiang district,Chongqing
10.3969/j.issn.1674-2982.2025.07.001
- VernacularTitle:"强基层"导向下县域医保与医疗协同演进的多维嵌入机制研究:以重庆黔江为例
- Author:
Lin-bin LUO
1
;
Rei-bo HE
;
Hao-miao LI
;
Liang ZHANG
Author Information
1. 武汉大学政治与公共管理学院 湖北 武汉 430072
- Publication Type:Journal Article
- Keywords:
Primary health governance;
Embedding theory;
Incentive mechanism theory;
Synergy between health insurance and healthcare services
- From:
Chinese Journal of Health Policy
2025;18(7):1-8
- CountryChina
- Language:Chinese
-
Abstract:
This study draws on embedding theory and incentive mechanism theory to construct a multi-dimensional framework for analyzing the integration of county-level health insurance into primary healthcare.Using Qianjiang District,Chongqing,as a case study,it analyses how horizontally bundled funding and service transformation embed insurance into local health governance.The study finds that health insurance is embedded into primary governance through a systemic process driven by values,shaped by social structures,and supported by institutions,involving the reconfiguration of resources,relationships,and interests.Establishing primary care groups as budget units improves alignment between payment and service needs;linking budget limits,surplus incentives,and performance feedback strengthens provider motivation;and coordinated inter-agency mechanisms facilitate integration of fund management and service delivery.
