基于三维分析框架的“互联网+”医疗服务医保支付政策量化研究

Objective: To provide reference for improving the provincial Internet plus medical service medical insurance payment policy in China. Methods: From three dimensions of policy tools, participants and policy placement, the distribution characteristics of the Internet plus medical service and medical insurance payment related policies that have been issued in 31 provinces of China were analyzed. A total of 58 policy documents were collected, forming 1585 text items. Result: A total of 597 text items were selected for policy tools (X dimension), with supply based, demand based, and environmental based policy items accounting for 20.6%, 16.6%, and 62.8%, respectively. A total of 574 text items were selected for the participating entities (Y-dimension), and 414 text items were selected for the policy placement (Z-dimension). Conclusion: There is a structural imbalance in policy tools, and complementarity and coordination should be enhanced; There are significant differences in the application of policy tools among participating entities, and the division of labor and collaboration among participating entities should be deepened; The practicality of policy implementation is not strong, and close connections between links should be strengthened; The distribution of policies among regions is not balanced enough, and policy design should be optimized according to local conditions.