An Empirical Study on the Evaluation of the Index System of High-quality Development of Medical Security in Beijing Based on the Grey Comprehensive Evaluation Method

Corresponding author: yang jia, yangjiakm@163.com

DOI: 10.12201/bmr.202306.00011

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  Abstract: Objective: Based on the new development concept of medical insurance, guided by national macro policies and combined with Beijings reform priorities, a medical insurance quality development evaluation index system is constructed to evaluate the quality development of medical insurance in Beijing from 2018-2021. Methods: Descriptive analysis combined with the gray comprehensive evaluation method was used to analyze five dimensions: fairness in participation, management services, fund supervision, social coordination, and operational effectiveness. Results: Overall, the level of high-quality development of medical insurance in Beijing from 2018-2021 shows a trend of steady improvement, and the index values of all dimensions gradually approach the optimal values. Conclusion: The evaluation index system and evaluation method have a certain degree of scientificity and applicability. The development level of medical insurance in Beijing has been improving continuously, and the problems of unstable and unbalanced development have emerged; the medical insurance system reflects a certain fairness, but the problems of insurability and duplication of coverage still exist; the medical insurance fund operates smoothly and sustainably, but the gap of funding treatment exists between systems; the regulatory mechanism of medical insurance fund is gradually improved, and the regulatory methods need to be innovated and optimized.

  Key words: medical insurance; high-quality development; grey comprehensive evaluation method

  Submit time: 28 June 2023

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