A Study on the Evolutionary Process and Path Selection of China’s Multi-Tiered Medical Security System

Shuai Wang

doi:10.54097/3nhm4a09

Authors

Shuai Wang

DOI:

https://doi.org/10.54097/3nhm4a09

Keywords:

Medical Security System, Multi-Tiered Medical Security System, Policy Evolution, Reform Pathways, China

Abstract

Establishing a multi-tiered medical security system represents the core objective of the reform of China’s medical security system. By examining the developmental trajectory and current state of China’s medical security system, this paper identifies several persistent issues, including incomplete coverage and low levels of protection, limited effectiveness of the multi-tiered system, an underdeveloped core tier, insufficient attention to the intermediate tier, and underdeveloped outer tiers comprising commercial health insurance and charitable medical assistance. Achieving the goals of constructing a multi-tiered medical security system necessitates robust top-level design. This involves not only establishing a vertical institutional framework with basic medical insurance as the core, medical assistance as the safety net, and commercial health insurance and charitable donations as supplementary components, but also clearly defining the roles and responsibilities of diverse governance entities—including the government, market, and society—from a horizontal perspective. Concerted efforts from all parties are essential to create a favorable operational environment for the development of the multi-tiered medical security system.

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