What goals does China’s medical insurance fund supervision aim to achieve? A quantitative analysis based on national-level policies

The supervision of China's medical insurance fund involves diverse goals that are interrelated and centered on the core objectives of ensuring fund security, combating medical insurance fraud, and safeguarding citizens' rights and interests. They can be distilled into five categories: fairness, citizenship, efficiency, administration, and social welfare. These findings can provide empirical evidence for the governance of goal conflicts in medical insurance fund supervision and the construction of an assessment framework for supervisory efforts.

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Publication Details

Journal
BMC Health Services Research
Published
2025-12-17
DOI
https://doi.org/10.1186/s12913-025-13775-6
Primary Topic
Healthcare Systems and Reforms
Type
article
Field-Weighted Citation Impact
0.00

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What goals does China’s medical insurance fund supervision aim to achieve? A quantitative analysis based on national-level policies

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What goals does China’s medical insurance fund supervision aim to achieve? A quantitative analysis based on national-level policies

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article en

Abstract

The supervision of China's medical insurance fund involves diverse goals that are interrelated and centered on the core objectives of ensuring fund security, combating medical insurance fraud, and safeguarding citizens' rights and interests. They can be distilled into five categories: fairness, citizenship, efficiency, administration, and social welfare. These findings can provide empirical evidence for the governance of goal conflicts in medical insurance fund supervision and the construction of an assessment framework for supervisory efforts.

BMC Health Services ResearchVol. 25(1)
Harbin Medical University (CN)
National Natural Science Foundation of China
Openalex Percentile: Top 51%
Healthcare Systems and Reforms
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