Objective: The paper explores the motivations and influencing factors in the implementation of integrating retail pharmacies into basic medical insurance outpatient pooling fund policy, the attitudes of various stakeholders towards the policy, and put forwards targeted suggestions to promote the policy smoothly. Methods: Semi-structured interviews were conducted with the decision-makers of healthcare security departments, managers of medical institution and outpatient doctors, retail pharmacy managers and staff, and employees' basic medical insurance participants in the capital cities of three provinces in eastern, central and western regions of China. The stakeholders theory was used to analyze three core variables: the degree of interest correlation, the influence of policies, and the willingness to implement policies, and the core-variable matrix was further used to identify the motivations and influencing factors during the policy implementation. Results: All stakeholders have a strong interest correlation with the policy, and the healthcare security departments have a strong influence in policy and hopes to actively promote the implementation of the policy. The managers of hospitals and retail pharmacies have a strong willingness to implement the policy, but outpatient doctors and pharmacy staff are less motivated. Patients' attitudes towards the policy vary in different regions, but with the implementation of policies, the willingness of the insured people to implement policies will generally increase. Conclusion: The healthcare security departments need to provide strong technical support and supervision. The managers of medical institutions and retail pharmacies need to improve the management mode to enhance the professional competence and motivations of employees. Meanwhile, the publicity of the policy, especially the effectiveness of the policy should be strengthened to ensure that the insured people can fully understand the benefits of the policy, and implement the outpatient mutual aid policies.
Key words
retail pharmacies /
outpatient pooling /
medical insurance policy /
stakeholders /
motivation analysis
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