Discussion on the coordinated development of health insurance system and medical system: target, responsibility division and coordination

Corresponding author: Zhang Liang, zhangliang@mails.tjmu.edu.cn

DOI: 10.12201/bmr.202311.00005

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  Abstract: Coordinated development is the key to improve the efficiency of the health insurance system and the medical system, but the current health insurance system and the medical system are more isolated reform and ostensibly linked. This paper analyzed the feasibility of the coordinated development of the health insurance system and the medical system from the perspective of value, and analyzes the coordinated development goals of the two systems from the perspective of sustainable development, namely, sustainable health (including three sub-goals: improving the health level of residents, building a hierarchical service order, and controlling the cost of health services), and on this basis, we combed the division of responsibility and coordination mechanism between the health insurance system and the medical system, which is expected to provide reference for the collaborative reform of the two systems.

  Key words: Health insurance system; Medical system; Coordinated development; Coordinated target

  Submit time: 20 November 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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