• 国家药监局综合司 国家卫生健康委办公厅
  • 国家药监局综合司 国家卫生健康委办公厅

Policy text analysis of prefectural-level health insurance risk pooling in China from the perspective of policy tools

Corresponding author: ZHU Xiaoli, zhu.xiaoli@imicams.ac.cn
DOI: 10.12201/bmr.202406.00020
Statement: This article is a preprint and has not been peer-reviewed. It reports new research that has yet to be evaluated and so should not be used to guide clinical practice.
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    Abstract: Objective: To make a quantitative analysis of the policy tools of 247 prefectural-level health insurance risk pooling policy text, analyze the distribution characteristics in dimensions including objectives, tools and objective, so as to provide references for the optimization of Chinas health insurance risk pooling policy. Methods: Content analysis and quantitative analysis method were performed, a three-dimensional framework of tools(X -dimension)- objectives(Y-dimension)- phases(Z -dimension) was constructed , which was used to perform multi-dimensional classification and cross-comparison analysis on policy items. Results: According to the X-dimension, environmental and demand-based policy tools were constantly improving, but partial policy sub-tools are seriously missing. From the Y-dimension, policy objectives covered multiple dimensions but failed to complement each other. From the Z-dimension, the use of policy tools in different stages shows the characteristics of gradual progressive and hierarchical diffusion. policy suggestions are put forward: Optimize the combination of various policy tools, improve the adaptability of policy content and objectives, and form inter-dimensional policy synergy. On the basis of the summarized experience in the application of policy tools, providing references for provincial-level health insurance risk pooling in China.

    Key words: Medical insurance, Prefectural-level risk pooling, Policy tools, Content analysis; ; ; 

    Submit time: 17 June 2024

    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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  • ID Submit time Number Download
    1 2024-03-29

    bmr.202406.00020V1

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ZHU Xiaoli, Huang Xinyue, WANG Yuheng. Policy text analysis of prefectural-level health insurance risk pooling in China from the perspective of policy tools. 2024. biomedRxiv.202406.00020

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