Assessing the effectiveness of outpatient mutual aid policy implementation based on the Horn-Mitton model
10.3969/j.issn.1671-332X.2025.05.003
- VernacularTitle:基于霍恩-米特模型的门诊共济政策执行效果研究
- Author:
Chenqiong ZENG
1
;
Huiwen DENG
;
Kang SUN
;
Han CUI
Author Information
1. 暨南大学附属第六医院 广东东莞 523106
- Publication Type:Journal Article
- Keywords:
Outpatient mutual aid;
Employee health insurance;
Horn-Mitton model;
Policy implementation
- From:
Modern Hospital
2025;25(5):665-668
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify determinants affecting the implementation of outpatient mutual aid policy and propose evidence-based optimization strategies.Methods By utilizing the Horn-Mitton policy implementation framework,this article sys-tematically examined implementation barriers through multi-dimensional analysis.Results The implementation process was con-strained by multiple interacting factors:overly broad policy objectives,insufficient adoption of digital health technologies,shorta-ges of health insurance professionals,policy fragmentation due to lack of horizontal communication within organizations,an in-complete fiscal compensation mechanism,imbalance of cohesive policies,and limited public acceptance.These factors collective-ly hindered the advancement of outpatient mutual aid policy.Conclusion In order to improve the implementation efficacy,it is urgent to build robust digital monitoring platforms equipped with regulatory systems,establish multi-dimensional fiscal compensa-tion mechanisms,cooperate with a variety of policies to promote coordination,explore reform plans for employee health insurance payment fairness,unify the reimbursement level orientations,and construct differentiated reimbursement policy systems.
