通讯作者: 王红波, whb2020@ruc.edu.cn

DOI：10.12201/bmr.202310.00001

The Collaborative Development of County Medical Communities and Health Insurance: Theoretical Reasons, Practical Dilemmas, and Optimization Strategies

• 摘要：县域医共体与医保协同发展是建设健康中国背景下深化县域医改的关键，既有文献缺乏对二者协同发展的理论研究。文章归纳了医共体与医保协同发展的理论缘由，并运用协同治理理论分析了当下医共体和医保协同发展的实践困境，进而提出了相应建议。研究认为，医共体和医保协同发展是协同治理应对复杂性公共管理问题的理论要求，也是“三医联动”改革实践的理论升华，更是构建整合型医疗卫生服务体系的内在要求。然而，当前二者协同还存在发展目标不明确、缺乏对元主体的清晰界定、多元主体参与不足以及协同措施碎片化的实践困境，未来需要以健康中国作为长期性共同目标，发挥党委、政府启动协同治理的元主体作用，吸纳多元主体参与协同治理并强化协同治理措施的系统性。

  关键词： 医疗保障；医共体；协同治理；整合; ; ; 

   

  Abstract: The collaborative development of county medical communities and health insurance is the key to deepening county-level medical reform in the context of building Healthy China. There is a lack of theoretical research on the collaborative development of this issue in existing literature. The article summarizes the theoretical reasons for the collaborative development of county medical communities and health insurance, and uses the collaborative governance theory to analyze the practical difficulties in the current conditions of its collaborative development, and then puts forward some corresponding suggestions. It suggests that the collaborative development of the county medical communities and health insurance is a theoretical requirement for collaborative governance to deal with complex public management issues, a theoretical sublimation of the San Yi Lian Dong reform practice, and an inherent requirement for building an integrated medical and health service system. However, there are still some problems in the collaboration, such as unclear development goals, lack of clear definition of meta governance subjects, insufficient participation of multi subjects, and the practice dilemma of fragmentation of collaborative measures. In the future, we need to take Healthy China as a long-term common goal, make the Party committee and the government as the meta subjects of starting collaborative governance, absorb multi subjects to participate in collaborative governance, and introduce the systematic collaborative governance measures.

  Key words: Health insurance; County medical communities; Collaborative governance; Integrate

  提交时间：2023-10-20

  版权声明：作者本人独立拥有该论文的版权，预印本系统仅拥有论文的永久保存权利。任何人未经允许不得重复使用。
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• 序号	提交日期	编号	操作
  1	2023-07-10	bmr.202310.00001V1	下载

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