The supervision, management of the use of medical security funds is an important part of deepening the reform of the healthcare security system. Applying the multiple streams theoretical model, this paper systematically sorts out the formulation process of the Regulations on the Supervision, Administration of the Use of Healthcare Security Fund, analyzes the driving factors of the policy proposal, explores the role of problem stream, policy stream, political stream in the process of policy introduction, strengthens policy executors' awareness of the regulatory policy on the use of medical insurance funds to integrate multiple subjects, initiate comprehensive governance, ensure the sustainable advancement of the policy
Key words
the use of medical insurance funds /
supervision and administration /
multiple streams theory /
policy analysis
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References
[1] 国务院.医疗保障基金使用监督管理条例[EB/OL].(2021-02-19)[2022-07-07]. http://www.gov.cn/zhengce/content/2021-02/19/content_5587668.html.
[2] Nash Sarah Louise and Steurer Reinhard. From symbolism to substance: what the renewal of the Danish climate change act tells us about the driving forces behind policy change[J]. Environmental Politics, 2022, 31(3) : 453-477.
[3] [美]约翰·W·金登.议程、备选方案与公共政策[M].北京:中国人民大学出版社,2004.
[4] 宋小恒,廖晓明.从多源流理论视角看以药养医政策的终结[J].中国卫生经济,2018,37(04):8-10.
[5] 王雪. 中国新型农村合作医疗政策制定过程研究[D].上海师范大学,2013.
[6] 于倩倩,尹文强,黄冬梅,等.多源流理论视域下家庭医生签约服务政策制定过程分析[J].中华医院管理杂志,2019(08):642-646.
[7] 国家医疗保障局.2020年全国医疗保障事业发展统计公报[EB/OL](2021-03-08))[2022-07-07]. http://www.nhsa.gov.cn/art/2021/6/8/art_7_5232.html.
[8] 雷咸胜. 我国医保基金监管现存问题与对策[J].中国卫生经济,2019,38(08):31-33.
[9] 国家医疗保障局.关于开展医保基金监管“两试点一示范”工作的通知[EB/OL].(2019-06-06[2022-07-07].. http://www.nhsa.gov.cn/art/2019/6/6/art_47_1367.html.
[10] 郭敏,赵钦风,焦晨,等.国内外医保基金监管信用体系建设综述[J].中国医疗保险,2020(11):25-29.
[11] 董丹丹,孙纽云,孙冬悦,等.医保基金有效使用:风险管理、国际经验与政策建议[J].中国卫生政策研究,2013,6(01):21-27.
[12] 曲刚. 医疗保险基金使用与监管中的若干管理问题研究[D].东北大学,2014.
[13] 陆玲玲. 基本医疗保险基金监管的研究[D].东南大学,2016.
[14] 周建春. 医保监管需找准定位把握尺度[J].中国医疗保险,2018(05):17-18.
[15] Zhou Qinet al. Urban-rural health insurance integration in China: impact on health care utilization, financial risk protection, and health status[J]. Applied Economics, 2022, 54(22) : 2491-2509.
[16] 翟方明. 我国基本医保管理体制整合的困境与反思[J].医学与哲学(A),2018,39(05):47-51.
[17] 史学成. 新时代医保法治建设的挑战、机遇和任务[J].中国医疗保险,2018(10):6-9.