Evaluation for medical-insurance-medicine linkage reform of Sanming medical reform based on TOPSIS and coupled coordination model
10.3760/cma.j.cn111325-20241111-00950
- VernacularTitle:基于TOPSIS和耦合协调模型的三明医改"三医"联动评价研究
- Author:
Tieli GAN
1
;
Shengpeng GUO
;
Hufeng WANG
Author Information
1. 中国人民大学公共管理学院，北京 100872
- Publication Type:Journal Article
- Keywords:
Hospitals, public;
Medical-insurance-medicine linkage reform;
Sanming medical reform;
Coupling coordination model
- From:
Chinese Journal of Hospital Administration
2025;41(4):255-261
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the evaluation indicator system of medical insurance capacity, healthcare service capacity, and pharmaceutical supply security capacity, and explore the process and law of medical-insurance-medicine linkage reform in the 12 years since the Sanming medical reform.Methods:Data from documents such as Development of Healthcare in Sanming City and Financial Performance Report of Public Medical Institutions in Sanming City were collected. The TOPSIS and coupled coordination models were used to measure the degree of medical-insurance-medicine linkage reform, and correlation analysis was employed to explore the relationship between medical insurance capacity, healthcare service capacity, pharmaceuticals supply securty capacity and the degree of medical-insurance-medicine linkage reform.Results:The degree of medical-insurance-medicine linkage reform in Sanming medical reform increased from 0.220 before the reform to the highest of 0.346, 0.642 and 0.831 in the stages of " governing chaos and blocking waste", " establishing rules and systems" and " treating diseases before they occur and promoting general health" respectively. The coupling coordination status advanced from moderate imbalance to sound coordination. The r-values of medical insurance capacity, healthcare service capacity, and pharmaceutical supply security capacity with the degree of medical-insurance-medicine linkage were 0.940, 0.926, and 0.789 respectively ( P<0.01), among which medical insurance had the highest correlation with the degree of medical-insurance-medicine linkage. Conclusions:Since the Sanming medical reform, the service security capacities in the fields of medical insurance, healthcare service, and pharmaceuticals, as well as the degree of medical-insurance-medicine linkage reform, have been continuously improved, showing the characteristics of differentiated development in different stages. Among them, medical insurance has played an engine role in the medical-insurance-medicine linkage reform of Sanming medical reform.
