[1]吴心怡,吴晓园,林彬龙,等.医疗保障经办精细化治理体系构建研究 ——基于扎根理论[J].卫生经济研究,2023,40(9):40-42,48.
 WU Xinyi,WU Xiaoyuan,LIN Binlong,et al.Study on the Construction of the Refined Governance System for Medical Security Services ——Based on Grounded Theory[J].Journal Press of Health Economics Research,2023,40(9):40-42,48.
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医疗保障经办精细化治理体系构建研究
——基于扎根理论
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
40
期数:
2023年9期
页码:
40-42,48
栏目:
医疗保障
出版日期:
2023-08-25

文章信息/Info

Title:
Study on the Construction of the Refined Governance System for Medical Security Services
——Based on Grounded Theory
作者:
吴心怡1吴晓园2林彬龙1阳成虎1
1.福州大学经济与管理学院,福建 福州 350108
2.闽江学院经济与管理学院,福建 福州 350108
Author(s):
WU Xinyi WU Xiaoyuan LIN Binlong YANG Chenghu
School of Economics and Management, Fuzhou University,Fuzhou Fujian 350108, China
关键词:
医保经办精细化治理体系构建扎根理论
Keywords:
medical security services refined governance system construction grounded theory
分类号:
F840.684
文献标志码:
A
摘要:
目的:探究医疗保障经办精细化治理的实践路径。方法:基于扎根理论,以国家医疗保障局评选的44个典型服务案例作为分析样本进行文本分析。结果:分步提取出47个副范畴、16个次范畴、4个主范畴。结论:医疗保障经办精细化治理体系以机制治理、对象治理、结构治理、技术治理为关键要素,以满足人民群众医保服务需求为导向,四大关键要素互动共生,最终实现精细化治理目标。
Abstract:
Objective To explore the practical path of refined governance for medical security services. Methods Based on grounded theory, text analysis was conducted using 44 typical service cases selected by the National Medical Security Administration as analysis samples. Results 47 subcategories, 16 subcategories, and 4 main categories were extracted step by step. Conclusion The refined governance system for medical security services takes mechanism governance, object governance, structural governance, and technical governance as key elements, and is guided by meeting the needs of the people's medical insurance services. These four key elements interact and coexist, ultimately achieving the goal of refined governance.

参考文献/References:

[1] 刘凯,和经纬.激励机制、资源约束与监管成本——医保经办机构组织能力影响医疗费用增长的实证研究[J].公共行政评论,2018, 11(2):114-136,192.
[2] 宋娟,仇雨临.数字治理推动医保经办增能:应用逻辑与实现路径[J].中国卫生政策研究,2021,14(9):20-24.
[3] 褚雷.城乡居民医保整合背景下农民医保服务的改善及其优化策略研究[J].理论学刊,2022(3):141-149.
[4] 谢莉琴,胡红濮.异地就医直接结算政策执行的利益相关者分析[J].社会保障研究,2021(3):70-77.
[5] Glaser B G,Strauss A L.The Discovery of Grounded Theory:strategies for Qualitative Research[M] J.Chicago:Aldine,1967:56-70.
[6] Timonen V,Foley G,Conlon C.Challenges When using Grounded Theory:A pragmatic introduction to doing GT Research[J].International Journal of Qualitative Methods,2018,17(1):1-10.
[7] 李庆瑞,曹现强.党政统合与自主治理:基层社会 治理的实践逻辑——基于2020年至2021年社会治理创新案例的扎根理论研究[J].公共管理学报,2022,19(3):110-122,173.
[8] 陈向明.扎根理论的思路和方法[J].教育研究与实验,1999(4):58-63,73.
[9] 蒋源.从粗放式管理到精细化治理:社会治理转型的机制性转换[J].云南社会科学,2015(5):6-11.
[10] Liatd,Setzler K,Stoker G.Towards Holistic Governance:The New Reform Agenda[M].Basingstoke,UK:Palgrave,2002.
[11] 郑大庆,黄丽华,郭梦珂,等.公共数据资源治理体系的演化模型:基于整体性治理的建构[J].电子政务,2022(5):79-92.

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更新日期/Last Update: 2023-08-25