1.The Key Problems and Countermeasures of High-Quality Development of the Basic Medical Security System in China
Guosong SHU ; Chunlin JIN ; Linan WANG
Chinese Health Economics 2024;43(5):43-47
It analyzes the development achievements of the construction of the basic medical security system and the key issues of its high-quality development in China,and puts forward the countermeasures of promoting the high-quality development of the basic medical security system.In recent years,China's basic medical security system has made remarkable development achievements,but it is still facing a series of problems in the areas of participation,financing,treatment guarantee security and fund supervision.The implementation of accurate participation and expansion,the improvement of the financing mechanism,and the promotion of synergistic development and governance of medical care,medical insurance and pharmaceuticals are the keys to meeting the residents'growing health needs and promoting the high-quality development of China's basic medical security system.
2.The Development Convergence of Private Health Insurance in Basic Medical Insurance:International Practices and Implications
Jiayun WANG ; Linan WANG ; Bifan ZHU
Chinese Health Economics 2024;43(10):1-6
Private health insurance(PHI)is an important component of China's multi-tiered medical security system,meeting people's multi-level and diversified health needs through supplementing and connecting with the basic medical insurance(BMI).It aims to draw on the practical experience of typical countries to provide implications for developing PHI that complements BMI in China.Considering the different models of medical security systems in various countries and the diverse functional positioning of PHI,France,Germany,Australia,the United Kingdom,and the United States are selected as reference objects.After examining the macro institutional systems of PHI,coverage population,benefits packages,characteristics of coordination with health care and medicines,as well as supporting regulatory measures,the experiences are summarized.Based on China's context,it proposes to improve institutional system building,enrich product supply,expand the insured population,explore the coverage list formulation,and refine supporting regulatory policies.
3.Analysis of the Development Status and Problems of Private Health Insurance in Shanghai
Wenhua SONG ; Jiayun WANG ; Linan WANG
Chinese Health Economics 2024;43(10):7-10,14
The development of private health insurance is crucial for the construction of a multi-tiered healthcare security.Since entering the innovative development stage,the types and protection contents of private health insurance products have been continuously enriched,but there are still some problems.Taking Shanghai as the research object,it describes the development status of private health insurance in Shanghai by analyzing relevant policies,premium income,and product types.It locates many problems such as product supply and industrial synergy,such as uneven product distribution,insufficient product differentiation,insufficient information disclosure,and the need to improve the risk management and control capabilities of insurance institutions.It also puts forward suggestions such as enriching product types,optimizing insurance content,strengthening multi-party collaboration,and establishing a long-term mechanism to promote the high-quality development of commercial health insurance.
4.Analysis and Suggestions on the Synergistic Development of Private Health Insurance and Public Hospitals:A Case Study of Shanghai
Wenhua SONG ; Jiayun WANG ; Qingyi WU ; Minxing CHEN ; Linan WANG ; Chunlin JIN
Chinese Health Economics 2024;43(10):11-14
Constructing a multi-tiered healthcare security system can meet the diverse and individualized healthcare service demand of the general public.Public hospitals,as the main providers of healthcare services in China,effectively integrate with commercial health insurance,which can accelerate the implementation of high-quality healthcare services,promote innovative development,and optimize product coverage and operational efficiency for commercial health insurance,achieving a win-win situation.Taking Shanghai as the research object,it analyzes the supply and demand status of multi-tiered healthcare security in Shanghai based on population characteristics,economic level,healthcare resources,and policy environment.It identifies the difficulties in the current collaboration between public hospitals and commercial insurance.Finally,it proposes exploring the expansion of independent development space for specialized services,improving the level of coordination between commercial insurance institutions and public hospitals in health management services,promoting the management and sharing of data,strengthening the protection of innovative medicines and devices by commercial insurance,in order to promote the coordinated development of commercial insurance and public hospitals.
5.The Current Status,Issues,and Policy Recommendations for the Cooperation between Private Health Insurance and the Pharmaceutical Industry:A Case Study of Shanghai
Jiayun WANG ; Chunlin JIN ; Wenhua SONG ; Linan WANG ; Minxing CHEN
Chinese Health Economics 2024;43(10):15-19
Based on on-site research in Shanghai,it takes a supply-side perspective to examine the current status of cooperation between Private Health Insurance(PHI)and the pharmaceutical industry.It discusses the issues existing in the cooperation and proposes policy recommendations for their coordinated development.It identifies three main cooperation models and products,which are the public-private integrated product"Hui Min Bao",the special drug insurance led by insurance companies,and the disease insurance for patients led by pharmaceutical enterprises.However,these models commonly face challenges such as the limited policy support,a lack of standardized cooperation between the two sectors,insufficient information and data exchange,immature innovative payment models,and difficulties in the application of innovative drugs.It argues that the key to coordinated development lies in leveraging the strategic purchasing power of PHI,devising rational payment strategies and standards to achieve a win-win situation for insurers,enterprises,healthcare providers and patients.Therefore,policy recommendations are proposed from the perspectives of establishing mechanisms,breaking barriers,strategic procurement,and supporting measures.
6.Model summary and application analysis of surface sensitization point detection
Wei PAN ; Linan LIN ; Xiaoshuai YU ; Xiaoying WANG ; Qiongying SHEN ; Siyi ZHENG ; Na NIE ; Yi LIANG ; Jianqiao FANG
Journal of Beijing University of Traditional Chinese Medicine 2024;47(11):1623-1628
The acupoint sensitization theory,a breakthrough in acupuncture and moxibustion over the past two decades,has greatly enhanced the understanding of meridians and acupoints while increasing the effectiveness of clinical diagnosis and treatment in acupuncture and moxibustion practices.The number of studies on surface sensitization site detection for different diseases is increasing.However,systematic sorting and a summary of the detection mode of surface sensitization points are lacking.Therefore,this study categorizes the method of surface sensitization point detection into two modes:pan-scanning and focused scanning.The classification is based on the characteristics of the openness of the research purpose,the precision of the target range,and the degree of variation during detection.The two modes have considerable differences in the exploration efficiency and the presentation of result.The pan-scanning mode can be further subdivided into holistic and localized pan-scanning modes,whereas the focused-scanning mode can be subdivided into fixed-and variable-focused scanning modes.This study analyzes the application scenarios,characteristics,advantages,and limitations of each detection mode and presents opinions on mode selection,mode innovation,and future development directions.This study aims to provide valuable insights and guidance for the follow-up research on surface sensitization site detection of various diseases.
7.Risk factors for lung cancer with coronary artery diseases and the advances of treatment
Linan YAN ; Lin DU ; Xun ZHANG ; Dong WEI ; Dongyan YANG ; Junshan LI ; Lianqun WANG
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2024;31(08):1229-1234
The coronary artery disease is a frequent severe disease of cardiovascular system in recent years. Meanwhile, lung cancer, with its high morbidity and mortality, is the most frequent malignant tumor of respiratory system in the world. Clinical studies have shown that the incidence of coronary artery disease and lung cancer is high throughout the year, and comorbidities are becoming more common, especially in elderly patients. The incidence of lung cancer and coronary heart disease may be related. This article summarizes the common risk factors (smoking and environmental pollution, fibrinogen, estrogen, and age), and treatment (surgical treatment, neoadjuvant therapy, and targeted therapy) progress of the two diseases, providing a theoretical basis for clinical prevention and treatment.
8.The Key Problems and Countermeasures of High-Quality Development of the Basic Medical Security System in China
Guosong SHU ; Chunlin JIN ; Linan WANG
Chinese Health Economics 2024;43(5):43-47
It analyzes the development achievements of the construction of the basic medical security system and the key issues of its high-quality development in China,and puts forward the countermeasures of promoting the high-quality development of the basic medical security system.In recent years,China's basic medical security system has made remarkable development achievements,but it is still facing a series of problems in the areas of participation,financing,treatment guarantee security and fund supervision.The implementation of accurate participation and expansion,the improvement of the financing mechanism,and the promotion of synergistic development and governance of medical care,medical insurance and pharmaceuticals are the keys to meeting the residents'growing health needs and promoting the high-quality development of China's basic medical security system.
9.The Development Convergence of Private Health Insurance in Basic Medical Insurance:International Practices and Implications
Jiayun WANG ; Linan WANG ; Bifan ZHU
Chinese Health Economics 2024;43(10):1-6
Private health insurance(PHI)is an important component of China's multi-tiered medical security system,meeting people's multi-level and diversified health needs through supplementing and connecting with the basic medical insurance(BMI).It aims to draw on the practical experience of typical countries to provide implications for developing PHI that complements BMI in China.Considering the different models of medical security systems in various countries and the diverse functional positioning of PHI,France,Germany,Australia,the United Kingdom,and the United States are selected as reference objects.After examining the macro institutional systems of PHI,coverage population,benefits packages,characteristics of coordination with health care and medicines,as well as supporting regulatory measures,the experiences are summarized.Based on China's context,it proposes to improve institutional system building,enrich product supply,expand the insured population,explore the coverage list formulation,and refine supporting regulatory policies.
10.Analysis of the Development Status and Problems of Private Health Insurance in Shanghai
Wenhua SONG ; Jiayun WANG ; Linan WANG
Chinese Health Economics 2024;43(10):7-10,14
The development of private health insurance is crucial for the construction of a multi-tiered healthcare security.Since entering the innovative development stage,the types and protection contents of private health insurance products have been continuously enriched,but there are still some problems.Taking Shanghai as the research object,it describes the development status of private health insurance in Shanghai by analyzing relevant policies,premium income,and product types.It locates many problems such as product supply and industrial synergy,such as uneven product distribution,insufficient product differentiation,insufficient information disclosure,and the need to improve the risk management and control capabilities of insurance institutions.It also puts forward suggestions such as enriching product types,optimizing insurance content,strengthening multi-party collaboration,and establishing a long-term mechanism to promote the high-quality development of commercial health insurance.

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