Discussions on the " Tripartite-sector reform" , a model empowered by medical insurance: Sanming as a focal

Abstract

Tripartite-sector reform (a synergistic reform in public health services, medical insurance and medicine production-circulation) in Sanming city was described in the paper which centers on medical insurance. Tapping full potentials of the medical insurance, the city achieved efficient synergy among healthcare, medical insurance and medication systems. This reform has trimmed out inflated drug pricing to some extent for rooms of maneuver of medical service pricing changes, thus curbing excessive growth of medical costs successfully. The authors proposed areas of further improvements including the relationship between achieving such objective as curbing medical expenditure, and advancement of technical/medical service capacity; that between integrative control of medical insurance expenditure and protection of people's health; the equilibrium of interests between medical insurance, healthcare and medication. All these will contribute to the goal of healthy patients flow and a hierarchical medical system. Key words: Sanming; Medical insurance function; Tripartite-sector reform; People's health