Analysis of Refined Management of Medical Insurance in Public Hospitals Based on Behavioral Economics
- VernacularTitle:基于行为经济学的公立医院医保精细化管理策略研究
- Author:
Qiu ZHANG
1
;
Sitong LIU
;
Junyan CHEN
;
Shuxia ZENG
;
Zhiqi LONG
;
Ming ZHU
;
Lixiang ZHAI
Author Information
1. 广东药科大学医药商学院 广东 广州 510006;广东省卫生经济与健康促进研究中心 广东 广州 510006
- Publication Type:Journal Article
- Keywords:
public hospitals;
healthcare insurance;
refined management;
behavioral economics
- From:
Chinese Hospital Management
2025;45(10):60-64
- CountryChina
- Language:Chinese
-
Abstract:
With the progress of medical insurance reform,the refinement of medical insurance management in pub-lic hospitals still fails to meet the actual demands for medical insurance work.Based on the existing problems of medical insurance management,it emphasizes the necessity of the refined management of medical insurance.By integrating be-havioral economics theory,it divides the refined management of medical insurance into five distinct stages:develop-ment planning,process-oriented platform,organizational framework,staff training programs and regulatory supervi-sion.The behavioral logic of the refined management of medical insurance in public hospitals is analyzed.Building on this analysis,the relevant key insights are summarized to provide a reference for promoting the public welfare-oriented reform of public hospitals and realizing the high-quality development of public hospitals.