整体性治理视角下政府支持惠民保发展的治理模式及发展路径分析

Analysis of governance model and development path of government support for the development of “Huimin Insurance” from the perspective of holistic governance

目的:立足我国多层次医疗保障体系建设目标,提出政府部门支持惠民保发展的整体性治理模式。方法:分析我国惠民保发展历程及特征,以整体性治理理念和多元治理工具为基础,构建政府部门支持惠民保发展的整体性治理模式,并基于典型地区治理现状,剖析存在问题。结果:当前政府部门在支持惠民保发展过程中的整体性治理水平仍然不高,存在产品定位模糊、信息化工具和市场化工具尚不成熟、不同层次保障主体与医疗医药协同水平不一等问题,影响了惠民保的可持续发展。结论:作为多层次医保体系建设过程中的崭新尝试,政府部门支持惠民保发展需要从顶层设计角度提供整体性治理,具体包括厘清政府市场职责边界,推动政府部门系统化支持,强化信息治理工具,以及通过提高社会化参与水平实现多元共治等。

Objective:Based on the goal of multi-level medical insurance system,put forward the holistic governance way for government supporting the“Huimin Insurance”.Methods:The development process and characteristics of“Huimin Insurance”in China were analyzed.Based on the concept of holistic governance and multiple governance tools,a holistic governance model for government supporting the“Huimin Insurance”was constructed,and the existing problems were analyzed based on the current situation of typical regional governance.Results:At present,the holistic governance is not enough,there are problems such as fuzzy product positioning,immature information and marketing tools,and different levels of cooperation among the insurers and healthcare services,which affect the sustainability of the“Huimin Insurance”.Conclusion:As a new attempt in the construction of a multi-level medical insurance system,government departments should provide holistic governance from the perspective of top-level design to support the development of the“Huimin Insurance”,including clarifying the boundaries of government market responsibilities,promoting systematic support from government departments,strengthening information governance tools,and realizing multiple co-governance by improving the level of social participation.