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国外医疗保险的规制治理及对我国的启示

楼依玲 徐鸿彬 卢祖洵 曹世义

中国农村卫生事业管理2024,Vol.44Issue(2):83-88,6.
中国农村卫生事业管理2024,Vol.44Issue(2):83-88,6.DOI:10.19955/j.cnki.1005-5916.2024.02.002

国外医疗保险的规制治理及对我国的启示

Regulation and governance of the foreign medical insurance and its enlightenment for China

楼依玲 1徐鸿彬 1卢祖洵 1曹世义1

作者信息

  • 1. 华中科技大学同济医学院公共卫生学院,湖北武汉 430030
  • 折叠

摘要

Abstract

With the continuous development of social economy and the deepening of health system reform,great changes have taken place in the medical insurance field in China,and the disorder of management occurs fre-quently.Based on a systematic summary of the dilemma of medical insurance regulation and governance in China,such as lagging legal construction of medical insurance,unclear regulatory responsibilities,and single regulatory tools of medical insurance,this study learned from the experience in law,framework,system and technical means of medical insurance regulation and governance action in typical countries such as UK,USA,Germany and Hol-land,and put forward some path advice,including optimizing the legal environment of medical insurance,clarif-ying the main body of regulatory responsibility,and comprehensively applying regulatory tools,so as to dredge the blocking link in the anti-fraud management of medical insurance,and improve the operation safety and governance efficiency of medical insurance.

关键词

医疗保险/体制改革/规制/治理/国际经验/启示

Key words

Medical insurance/Institutional reform/Regulation/Governance/International experience/Implications

分类

医药卫生

引用本文复制引用

楼依玲,徐鸿彬,卢祖洵,曹世义..国外医疗保险的规制治理及对我国的启示[J].中国农村卫生事业管理,2024,44(2):83-88,6.

基金项目

国家社会科学基金重大项目(18ZDA085) (18ZDA085)

华中科技大学中央高校基本科研业务费专项资金(2020WKZDJC015) (2020WKZDJC015)

中国农村卫生事业管理

1005-5916

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