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


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.


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


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