ABSTRACT
Medical insurance system plays a key role in China's social security system.In the social insurance system,medical insurance features the widest coverage and the most complex in mechanism,while China' s medical insurance system itself is found with many setbacks.This paper probed into such risks found in the county-level medical insurance system as excessive cost growth causing overpayment of the medical insurance fund and poor supervision of the fund.On such basis,the authors recommended such policy changes as payment reform,and enhanced supervision over the fund,the demand side,and the government,in an effort to optimize China' s medical insurance system for theoretical and decision reference of other county-level hospitals in their reforms.
ABSTRACT
Development of medical groups in Yicheng city is referred to as the ‘Yicheng Pattern’ of the health reform in Hubei province.Analyzed in the paper are the background,progress,the specific practices and achievement of the formation of the Yicheng City Medical Group.And the discussions focused on the contradictions and present dilemma during the construction of county-wide medical groups.Based on discussions on the functionality of county general public hospitals,separation of management and operation functions,and advocating advantages of medical groups,the authors raised their recommendations.