Journal of Shandong University (Health Sciences) ›› 2019, Vol. 57 ›› Issue (8): 53-60.doi: 10.6040/j.issn.1671-7554.0.2018.1050

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Application of health management in social health insurance in the context of Healthy China

CHAO Jianqian, CAI Ruixue   

  1. School of Public Health, Southeast University, Nanjing 210009, Jiangsu, China)〓山〓东〓大〓学〓学〓报〓(医〓学〓版)57卷8期〓-巢健茜, 等.健康中国背景下健康管理在社会医疗保险中的应用〓\=-
  • Published:2022-09-27

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Abstract: Since the Fifth Plenum of the 18th Central Committee of the Communist Party of China, “Healthy China” has been promoted as a national strategy, and new requirements have been put forward for social medical insurance. At the same time, with the aggravation of the aging degree of society and high incidence of chronic diseases, the excessive burden of medical expenses has become more prominent. The above problems cannot be settled by social medical insurance, which only aims at the treatment of diseases and only takes expense reimbursement as the means. Therefore, this paper explored the application of health management in social medical insurance, the cooperation model of social insurance and commercial insurance,as well as the preventive role of health management(such as, controlling the disease risk of insured persons and improving the utilization rate of grassroots health service resources), in order to promote the sustainable development of social medical insurance.

Key words: Health management, Social medical insurance, Application, Commercial health insurance, Combination

CLC Number: 

  • R197.1
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