Study on the Assessment of Social Medical Insurance Participation in Palliative Care Medical Insurance Payment Policies
- VernacularTitle:基本医疗保险参与安宁疗护医保支付政策评估研究
- Author:
Aihua ZHANG
1
;
Ziyi HU
;
Yan JIANG
Author Information
1. 四川大学华西医院神经外科/四川大学华西护理学院 四川 成都 610041
- Publication Type:Journal Article
- Keywords:
basic medical insurance;
palliative care;
policy evaluation;
Policy Modeling Consistency index model
- From:
Chinese Health Economics
2025;44(9):9-15
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To quantitatively assess the participation of social medical insurance in palliative care medical insurance payment policies in different regions of China,explore the characteristics,find the weak points,and provide a basis for subsequent policy formulation.Methods:Based on text mining and literature review,it established a Policy Modeling Consistency(PMC)index model with 9 primary indicators and 38 secondary indicators,and quantitatively evaluated the palliative care insurance payment policies from 2017 to 2024.Results:A total of 24 policies were included,and the overall PMC index was 5.65,which was an acceptable grade,including 10 good grade policies,13 acceptable grade policies,and 1 poor grade policy.Conclusion:Overall,palliative care medical insurance payment policies are good,with relatively complete provisions in terms of coverage,medical insurance payment mechanism,supervision and management.However,there are still shortcomings in terms of financing channels,policy recipients,and incentive constraints.The follow-up should focus on broadening the financing channels,expanding the scope of recipients,and improving the incentive and constraint mechanism,so as to promote the optimization and improvement of the palliative care insurance payment system.
