Strategic Purchase of Health Insurance from the Perspective of Strategic Management in Public Sectors: An Interpretive Framework and Its Chinese Implications

Corresponding author: WANG Hongbo, whb2020@ruc.edu.cn

DOI: 10.12201/bmr.202407.00013

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  Abstract: Playing the strategic role of health insurance purchase is a crucial part of deepening the reform of the medical security system. However, theoretical research on strategic purchase lags far behind. Based on existing research and the theory of strategic management in public sectors, this paper constructs an interpretive framework for strategic purchase of health insurance, which consists of four major stages: mission, planning, implementation, and evaluation. Then, combined with the context of strategic purchase of health insurance in China, the interpretive framework is used to analyze in detail the Chinese implications of strategic purchase. It is believed that strategic purchase of Chinas health insurance should aim to meet the health needs of the people, systematically consider the internal and external environments and fields of action, scientifically analyze the five links of strategic purchase and strengthen purchase support, establish a mission-oriented evaluation mechanism involving multiple stakeholders, and ultimately remove institutional and mechanistic obstacles that constrain the satisfaction of peoples health needs.

  Key words: Strategic Purchase of Health Insurance; Strategic Management in Public Sectors; Healthy China; Medical Security

  Submit time: 10 July 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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