Research on the linkage mechanism between the adjustment of medical service price and the reform of medical insurance payment mode in China

Corresponding author: xuguangjian, xgj@ruc.edu.cn

DOI: 10.12201/bmr.202104.00018

•  

  Abstract: The relationship between medicine and medical insurance is increasingly reasonable, and the same between medicine and medical treatment, however the relationship between the medical insurance and medical treatment needs further discussion. The dynamic adjustment mechanism of medical service price is the key point of medical treatment reform, and the better choice of insurance payment mode is the linchpin of medical insurance reform. This paper is focused on analyzing the internal logic relationship between the two, and exploring the practical path of the reform linkage mechanism under this logical framework. The conclusion of this study points out that the linkage mechanism between the dynamic adjustment of medical service price and the reform of medical insurance payment mode should be constructed following the reform principle of incentive compatibility. During this process, improving the behavior of medical institutions is the key policy node of linkage mechanism, and policy synergy should be given full play by building an optimized, interacted and nested mechanism. In addition, the good operation of the linkage mechanism also needs external collaborative governance. This paper suggests that we should promote health management to promote the healthy lifestyle of residents, promote the construction of integrated health care system to improve the sharing level of high quality medical resources, and promote the further industrial integration of the Internet and medical services.

  Key words: Medical service price reform; Medical insurance payment reform; Medical system reform

  Submit time: 22 June 2021

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• YU YaHang, KONG Chen, YUAN Beibei. A systematic review of the influence of the integrated reform of medical and health service system on the working motivation and behavior of medical workers. 2021. doi: 10.12201/bmr.202011.00017

  zhangquanyu, yangyujie, lixing, leihaichao. Evaluation Research on Efficiency and Accessibility of Comprehensive Reform of Linkage between Medical Services and Medical Supplies in Beijing. 2021. doi: 10.12201/bmr.202010.00846

  Li Zhen, Zhang Chu. Reform of individual financing mechanism of residents medical insurance from quota system to fixed ratio system. 2021. doi: 10.12201/bmr.202105.00013

  Zhu Yanxin, Cao Hongxin. Curriculum Reform of Medical Informatics for Medical Undergraduates. 2021. doi: 10.12201/bmr.202105.00009

  haoqian, ZHANG Ping. Design and Implementation of Medical Insurance Supervision System Base on DRG Payment Mode. 2021. doi: 10.12201/bmr.202108.00018

  sunhuajun, zhangmeng, liuzhao, shendou, zhaokun, douyong, fengshiqiang, Liuyuehua. Reform Development Analyses and Policy Recommendations of County Medical Community --Based on Survey of 200 County Hospitals in 2019. 2020. doi: 10.12201/bmr.202007.00021

  zhangsuping. Reform and Practice of Integrated Teaching Model Based on PAD Class -- Taking Medical Literature Retrieval Course as an Example. 2021. doi: 10.12201/bmr.202110.00024

  Guo Yi, Jiang Tao, Hu Yingying, Tang Guangming. The Design and Application of Performance Assessment Information System for Primary Health Care Institutions Compensation Mechanism Reform. 2020. doi: 10.12201/bmr.201909.00001

  WU LIN, Li Mengying. Medical Insurance Payment Incentive and Doctors Multi-tasking Execution Deviation:A new Explanatory Framework and Policy Implications. 2022. doi: 10.12201/bmr.202112.00013

  ZhangJingyi, GaoGuangying, HuXingyu, DengQian, ZhangDa, TianJiashuai, ZhangLiliang. A study on the implementation effect of case-based payment systems for tuberculosis patients：Based on META analysis. 2022. doi: 10.12201/bmr.202112.00012

• ID	Submit time	Number	Download
  1	2021-04-15	bmr.202104.00018V1	Download

• Public  Anonymous  To author only Submit Comments