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惠民保高质量发展研究进展与展望OA

Research progress and prospect of high-quality development of government-guided commercial supplemental medical insurance

中文摘要英文摘要

惠民保是构建多层次医疗保障体系的重要创新,为系统地梳理该领域研究进展,以2021-2024年国内外115篇核心文献为样本,通过文献计量与主题分析发现,文献呈现"政策驱动-实践先行-理论跟进"的演进特征,形成制度设计、产品创新、可持续发展、参保公平与数字赋能五大主题集群.进而基于高质量发展理论,构建系统性、协调性、创新性、可持续性四维度的分析框架,揭示惠民保高质量发展需破解普惠性与可持续性间的动态平衡困境.现有研究存在三重滞后:学术研究滞后于产品迭代、理论建构滞后于政策演进、方法创新滞后于技术变革.未来研究应着力深化数据治理与精算模型优化、创新评估方法论、拓展理论视域,以实现理论创新与政策实践的双向互促.

The government-guided commercial supplemental medical insurance,commonly known as "Hui Min Bao",represents a significant innovation in building a multi-tiered medical security system.In order to sys-tematically sort out the research progress in this field,115 core literature at home and abroad from 2021 to 2024 were selected as samples.It is found through bibliometrics and theme analysis that the literature shows an evolution from policy-driven adoption,through practical implementation,to subsequent theoretical formulation,forming five theme clusters of system design,product innovation,sustainable development,insurance fairness and digital em-powerment.Then,based on the theory of high-quality development,a systematic,coordinated,innovative and sustainable analysis framework is constructed to reveal that the high-quality development of Hui Min Bao needs to solve the dynamic balance dilemma between inclusiveness and sustainability.There are three lags in existing re-search:academic research lags behind product iteration,theoretical formation lags behind policy evolution,and method innovation lags behind technological change.Future research should focus on deepening data governance and actuarial model optimization,innovating evaluation methodologies,and expanding theoretical horizons to a-chieve two-way mutual promotion of both theoretical innovation and policy practice.

姚卓君;史美思;刘慧玲;吴海波

江西中医药大学健康经济与管理学院,江西南昌 330000中国矿业大学(北京)文法学院江西中医药大学健康经济与管理学院,江西南昌 330000江西中医药大学健康经济与管理学院,江西南昌 330000

医药卫生

惠民保城市定制型商业医疗保险高质量发展多层次医疗保障体系文献计量分析

Hui Min BaoCustomized commercial medical insurance for urban residentsHigh-quality de-velopmentMulti-tiered medical security systemBibliometric analysis

《中国农村卫生事业管理》 2026 (1)

40-45,51,7

江西省自然科学基金管理科学类项目(20212BAA10004)江西中医药大学2024年度研究生创新专项资金项目(XJ-S202425)

10.19955/j.cnki.1005-5916.2026.01.007

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