现代医院2025，Vol.25Issue(5)：665-668,4.DOI:10.3969/j.issn.1671-332X.2025.05.003
基于霍恩-米特模型的门诊共济政策执行效果研究
Assessing the effectiveness of outpatient mutual aid policy implementation based on the Horn-Mitton model
摘要
Abstract
Objective To identify determinants affecting the implementation of outpatient mutual aid policy and propose evidence-based optimization strategies.Methods By utilizing the Horn-Mitton policy implementation framework,this article sys-tematically examined implementation barriers through multi-dimensional analysis.Results The implementation process was con-strained by multiple interacting factors:overly broad policy objectives,insufficient adoption of digital health technologies,shorta-ges of health insurance professionals,policy fragmentation due to lack of horizontal communication within organizations,an in-complete fiscal compensation mechanism,imbalance of cohesive policies,and limited public acceptance.These factors collective-ly hindered the advancement of outpatient mutual aid policy.Conclusion In order to improve the implementation efficacy,it is urgent to build robust digital monitoring platforms equipped with regulatory systems,establish multi-dimensional fiscal compensa-tion mechanisms,cooperate with a variety of policies to promote coordination,explore reform plans for employee health insurance payment fairness,unify the reimbursement level orientations,and construct differentiated reimbursement policy systems.关键词
门诊共济/职工医保/米特-霍恩模型/政策执行Key words
Outpatient mutual aid/Employee health insurance/Horn-Mitton model/Policy implementation分类
医药卫生引用本文复制引用
曾深琼,邓慧雯,孙康,崔晗..基于霍恩-米特模型的门诊共济政策执行效果研究[J].现代医院,2025,25(5):665-668,4.基金项目
国家社会科学基金重大项目(22ZDA015) （22ZDA015）
