Analysis on the synergy degree between financing and payment of basic medical insurance for urban workers in China under the background of aging
10.3969/j.issn.1674-2982.2025.10.004
- VernacularTitle:老龄化背景下我国城镇职工基本医疗保险筹资与支付协同度分析
- Author:
Jin-xuan ZHENG
1
;
Ruo-bin XING
;
Jin-tao SONG
;
Yan-tao MA
;
Wan-yu YANG
;
Yan-bing ZENG
Author Information
1. 首都医科大学公共卫生学院 北京 100069
- Publication Type:Journal Article
- Keywords:
Basic medical insurance for urban workers;
Financing;
Payment;
Composite system synergy model
- From:
Chinese Journal of Health Policy
2025;18(10):24-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the synergistic relationship between financing and payment systems in China's urban employee basic medical insurance under the background of aging,providing decision-making basis for promoting coordinated development of these two systems.Methods:Based on statistical yearbook data from medical security systems,the Delphi method was employed to identify collaborative analysis indicators for urban employee medical insurance financing and payment under the aging population context.A collaborative theory-based model was constructed to measure the coordination degree of China's urban employee medical insurance financing and payment composite system,while simultaneously assessing the orderliness of the financing and payment system and the coordination degree of the composite system.Results:The order degree of the financing system ranged from 0.324 in 2019 to 0.517 in 2023;the order degree of the payment system ranged from 0.454 in 2019 to 0.517 in 2023;the synergy degree of both systems reached-0.084 in 2023.Conclusions:Influenced by aging,the development speed and scale of China's urban employee basic medical insurance financing system and payment system are asynchronous,with the payment system being more affected than the financing system,resulting in a non-coordinated and disordered development state of the composite financing-payment system.
