Optimized path design outpatient co-ordination system mechanism for employee medical insurance in Jiangsu Province based on SWOT analysis

Corresponding author: Zhang Xiao, zhangxiao@seu.edu.cn

DOI: 10.12201/bmr.202204.00009

•  

  Abstract: Objective: To understand the development environment of outpatient co-ordination system mechanism for employee medical insurance in Jiangsu Province, Provide a basis for the design of its optimized path. Methods: SWOT analysis was used to explore the advantages and disadvantages of outpatient co-ordination system mechanism for employee medical insurance in Jiangsu Province, and the opportunities and threats it faces. Results: The development of outpatient co-ordination system mechanism for employee medical insurance in Jiangsu Province has many advantages and opportunities, such as financial basis, handling management, medical institutions, policy orientation, actual demand and digital medical insurance background, but also faced with disadvantages and threats in the aspects of legal system, fund supervision, agreement management, concept of insurance participation, financing standard, treatment levels and epidemic impact. Conclusion: A SWOT matrix was established, starting from four combined strategy dimensions, relevant countermeasures were comprehensively analyzed, and the optimized path of outpatient co-ordination system mechanism for employee medical insurance in Jiangsu Province was designed.

  Key words: basic medical insurance for urban employees; outpatient co-ordination; the SWOT analysis; path design

  Submit time: 24 April 2022

  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

• Yang Fan. Research on the Influence of the Outpatient Security Level’s improvement on Medical Service Utilization and Medical Insurance Fund Expenditure -Based on the case analysis of Sanming City. 2021. doi: 10.12201/bmr.202107.00028

  ZENGXUHENG, ZHENGJI, LVJUN, NINGYULING, LIXIAOHONG. SWOT analysis on volume-based procurement of high-value medical consumables: A case of Shanghai. 2020. doi: 10.12201/bmr.202010.00841

  Yu Zhiqing, Zeng Yi. Study on the Sustainability Assessment of Shanghai Basic Medical Insurance Fund for Urban Employees and the Space for Fee Reduction. 2022. doi: 10.12201/bmr.202210.00017

  zhangxiaojuan. Reconstruction of the medical insurance benefit package based on the perspective of outpatient and inpatient cost protection. 2021. doi: 10.12201/bmr.202103.00006

  Zhou xiaoyuan, He Yue, Fan Shao Yu, Zhang Yin Ying. Comparative analysis across UEBMI and URRBMI from input-output perspective --- Based on data from 21 overall planning regions in Sichuan Province. 2020. doi: 10.12201/bmr.202007.00020

  ZhangJinsui, Humin, ChenWen, GongYichun, LI Jian-mei. Exploration and enlightenment of the content design of credit management for the basic medical insurance participants in China——Based on the content analysis of the text of credit management policy of 18 regions. 2022. doi: 10.12201/bmr.202207.00025

  GAO qilong, WEI jingmin, DONG hengjin. An Exploration on the effect and influencing factors of the policy permitting medical savings accounts to purchase commercial health insurance: based on interviews with key insiders from six districts in Zhejiang Province.. 2021. doi: 10.12201/bmr.202010.00842

  niehuibin, Tian xixi, Jia chaoyong, Yang jie, chen min. SWOT analysis of the application of Internet+ in chronic disease management in Medical Alliance. 2022. doi: 10.12201/bmr.202211.00005

  baoyuting, liulei, jiangyanni. Design and implementation of specialist outpatient examination process optimization and closed-loop management of doctor orders based on ophthalmology PACS. 2021. doi: 10.12201/bmr.202110.00017

  HUANGYOULIANG. The application and development trend of active health in smart medical care：Based on SWOT-CLPV model analysis. 2022. doi: 10.12201/bmr.202112.00009

• ID	Submit time	Number	Download
  1	2022-01-24	bmr.202204.00009V1	Download

• Public  Anonymous  To author only Submit Comments