| 引用本文：郑炆苅, 邓清文, 夏宇, 刘柳, 陈英耀, 杨毅.政策工具视角下我国医保支付体系政策文本分析[J].中国卫生政策研究,2024,17(1):30-35 |
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| 政策工具视角下我国医保支付体系政策文本分析 |
| 投稿时间：2023-09-28 修订日期：2023-12-11 PDF全文浏览 HTML全文浏览 |
| 郑炆苅, 邓清文, 夏宇, 刘柳, 陈英耀, 杨毅 |
| 复旦大学公共卫生学院 国家卫生健康委员会卫生技术评估重点实验室 上海 200032 |
| 摘要:目的：分析我国医保支付体系相关政策的发布情况及特点，为我国医保支付建设未来的政策制定提供参考。方法：采用内容分析法构建“政策目标—政策工具”二维框架，将检索纳入的63份政策文件进行文本分析。结果：共完成政策编码493条，从政策目标维度看，我国医保支付政策目标主要集中在提高保障水平、优化医保环境、规范监督条例三大方面；从政策工具维度看，环境型政策工具使用最多，其次是供给型，需求型工具使用较少；各政策目标中财政投入和人才培养缺位严重，示范试点和支付范畴应加强重视。结论：我国着力构建完善的医保支付体系，但在减轻就医负担、满足患者诊疗需求和推动支付体系建设方面应进一步加强政策内容补充，优化政策工具结构，充分提高医保支付能力。 |
| 关键词:医保 支付 政策工具 政策文件 |
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| Study on policy texts in the field of medical insurance payment system in China from the perspective of policy tools |
| ZHENG Wen-yi, DENG Qing-wen, XIA Yu, LIU Liu, CHEN Ying-yao, YANG Yi |
| NHC Key Laboratory of Health Technology Assessment, School of Public Health, Fudan University, Shanghai 200032, China |
| Abstract:Objective: To analyze the release and distribution characteristics of Chinese medical insurance payment policies, and to provide reference for future policy formulation in the field of medical insurance payment construction. Methods: Content analysis method was used to construct a two-dimensional framework of “policy goals-policy tools”, and text analysis was carried out according to 63 policy documents. Results: A total of 493 policy codes were completed. From the perspective of policy goals, the policy objectives of Chinese medical insurance payment mainly focused on three aspects: improving the payment level, optimizing the medical insurance environment, and standardizing the supervision regulations. From the perspective of policy tools, environmental policy tools are the most used policy tools, followed by supply and demand tools. There is a shortage of financial input and talent training in all policy objectives, so more attention should be paid to demonstration and Category of payment. Conclusion: Our country puts forth effort to build a perfect medical insurance payment system, but should further strengthen policy content supplement, optimize the structure of policy tools, and give full play to the payment ability of medical insurance when pulling the demand of medical insurance payment and driving the supply of medical insurance payment. |
| Key words:Medical insurance Payment Policy tools Policy document |
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