Analysis of the Provincial-level Overall Planning Path of Basic Medical Insurance from the Perspective of Incrementalism

Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v3i2.858

Songtao Deng, Jinxi Ding, Wei Li, Xu Ren

China Pharmaceutical University, Nanjing 211198, Jiangsu, China

Abstract

Objective — To analyze the situation of the provincial-level overall planning of basic medical insurance in China, so as to put forward some suggestions on the path of promoting the provincial-level overall planning in China. Methods — By means of literature search and incremental analysis, a systematic study was conducted on the current situation and implementation path of the provincial-level planning of basic medical insurance in China. Results — At present, only some provinces have achieved provincial-level overall of some insurance types, and the overall paths of these provinces basically incubate the principle of incrementalism. The overall planning of benefit has transitioned from “one system and multiple tranches” to a unified system; the overall planning of fund has transitioned from the risk adjustment mechanism to fund unified revenue and expenditure; the overall planning of regional is characterized by gradual progress by region; the overall planning of insurance types is basically advanced in the order of first employee medical insurance and then resident medical insurance. Conclusion — The general path of provincial overall planning should follow the principle of incrementalism. On the premise of ensuring policy stability, provincial overall planning should be gradually promoted in stages, tasks, regions and types of insurance.

Keywords

incrementalism, basic medical insurance, provincial overall planning, path analysis

References

[1] Lindblom C E. The science of “muddling through”[J]. Public administration review, 1959: 79-88.
[2] Chen Zhiqiang. To View the Transition of Unemployment Insurance Policy in China in the Perspective of Public Policy[J]. Journal of China Institute of Industrial Relations, 2010, 24(03): 23-26.
[3] Lustick, I. Explaining the Variable Utility of Disjointed Incrementalism: Four Propositions[J]. American Political Science Review, 1980, 74(2), 342-353.
[4] Cohen M, March J G, Olsen J P. A garbage can model of decision making[J]. Administrative Science Quarterly, 1972, 17(1): 1-25.
[5] Gao Qiuming, Wang Dashu. Research on the system integration factors affecting the integration of urban and rural residents' medical insurance[J]. Studies on Socialism with Chinese Characteristics, 2017(06): 79-85.
[6] Xu Zhenhua. Research on Balancing Urban and Rural Residents Medical Security Systems of Ningxia Autonomous Region[D]. Chang’an University, 2013.
[7] LIU Si-jia, HUO Hong-jun. Research on Forecast of Income and Expenditure of Inner Mongolia Urban Employee Basic Medical Insurance Coordination Fund[J]. Chinese Health Economics, 2019, 38(11): 34-36.
[8] PEI Jian-ting;ZHANG Hui-qing;WANG Xiao-li, et al. Research on the Equity of the Redistribution of Employee Medical Insurance Benefits in China:Based on the Empirical Analysis of CHFS Data[J]. Chinese Health Economics, 2021, 40(10): 39-44.
[9] Jianwen Wang. The Practice of Unified Revenue and Expenditure in Municipal Planning in Shanxi Province[J]. China Health Insurance, 2014(04): 34-36+45.

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