中国医学伦理学2026，Vol.39Issue(5)：640-649,10.DOI:10.12026/j.issn.1001-8565.2026.05.12
辅助生殖医疗服务纳入基本医疗保险的政策文本分析及优化路径研究
Policy textual analysis and optimization path research on the inclusion of assisted reproductive medical services in basic medical insurance
摘要
Abstract
Objective:To analyze the policy texts regarding the inclusion of 44 assisted reproductive medical service projects into basic medical insurance in China and to provide recommendations for the formulation and improvement of subsequent policies.Methods:Methods such as textual analysis,qualitative research,and descriptive statistics were employed.Based on the theory of policy instruments,a two-dimensional analytical framework integrating policy instruments with policy objectives was constructed to systematically examine the current status and existing issues in the inclusion of assisted reproductive medical service projects in basic medical insurance.Results:Demand-based and environment-based policy instruments were more frequently utilized,accounting for 42.11%and 37.89%,respectively.Supply-based policy instruments accounted for only 20.00%,indicating limited use.In terms of policy objectives,standardized service management constituted the largest proportion(27.65%),whereas integrating service resources accounted for the smallest share(10.00%),showing an imbalanced and insufficient utilization of policy instruments.Conclusion:To better advance and implement the inclusion of assisted reproductive medical service projects in basic medical insurance and foster the construction of a fertility-friendly society,it is essential to strengthen the use of supply-based policy instruments,promote internal structural balance,expand the medical insurance catalog of assisted reproductive technologies,increase reimbursement rates,intensify publicity efforts,formulate scientific planning,establish rigorous qualification evaluations,enhance the synergy of policy instruments,and optimize the structure of policy instruments.关键词
辅助生殖/基本医疗保险/政策工具/生育友好型社会Key words
assisted reproduction/basic medical insurance/policy instrument/fertility-friendly分类
医药卫生引用本文复制引用
刘嘉雯,皮安妮,李雅诗,原彰..辅助生殖医疗服务纳入基本医疗保险的政策文本分析及优化路径研究[J].中国医学伦理学,2026,39(5):640-649,10.基金项目
2024年度教育部人文社会科学研究青年基金项目"基于'风险调整机制'的中国居民医疗保险动态筹资制度研究"(24YJC840019) （24YJC840019）
广东省中医药健康服务与产业发展研究中心2025年一般项目"广东省长期护理保险试点评估与推广路径研究"(2025YBA06) （2025YBA06）
广州中医药大学"固本"工程一级学科提升项目"基于数据挖掘探讨中药复方防治结核病的作用机制及实践研究"(GZY2025GB0310) （GZY2025GB0310）
