摘要
公立医院作为医保改革的关键阵地, 承载着深化医改的重任。在新质生产力的背景下, 公立医院医保管理高质量发展的重要性日益凸显。作者从学理层面解析新质生产力与公立医院医保管理高质量发展理论耦合的底层逻辑, 结合当前公立医院医保管理存在的管理理念滞后、数字治理能力薄弱、管理体制机制不适配新质生产力发展要求等困境, 提出通过新质生产力驱动的"认知革命-要素重构-治理生态"三维发展路径, 构建"价值创造-技术赋能-协同共治"公立医院医保管理高质量发展闭环体系, 为医保管理现代化提供参考。
As a key position in medical insurance reform,public hospitals bear the heavy responsibility of deepening medical reform.In the wave of new quality productive forces,the importance of medical insurance management in public hospitals is becoming increasingly prominent.New quality productive forces provides a theoretical breakthrough and practical path for the transformation of medical insurance management paradigm in public hospitals.The authors analyzed the underlying logic of the coupling of new quality productive forces and the high-quality development of medical insurance management in public hospitals from the academic level.Combined with the current dilemmas of medical insurance management in public hospitals,such as lagging management concept,weak digital governance ability,and management system and mechanism not adapting to the development requirements of new productive forces,the authors proposed a three-dimensional development path of"cognitive revolution,factor reconstruction,governance ecology"and constructed a closed-loop system of high-quality development of"value creation,technology empowerment,collaborative co-governance",so as to provide theoretical innovation and practical path for the modernization of medical insurance management.
作者
张霄艳
杨雪
方鹏骞
Zhang Xiaoyan;Yang Xue;Fang Pengqian(School of Public Administration,Hubei University,Wuhan 430062,China;Academy of Health Policy and Management,Huazhong University of Science and Technology(Think Tank),Wuhan 430030,China)
出处
《中华医院管理杂志》
北大核心
2025年第1期39-43,共5页
Chinese Journal of Hospital Administration
基金
国家社会科学基金(24BZZ090)。
关键词
新质生产力
公立医院
医保管理
高质量发展
路径
New quality productive forces
Public hospitals
Medical insurance management
High-quality development
Path
