Medical insurance model based on the national big data platform for medical and healthcare management

Yingxin Li
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Abstract

The fundamental goal of China's medical insurance is to build a multi-level social security system covering the whole people, urban and rural planning, clear rights and responsibilities, moderate protection, and sustainable development. It is required to unify the medical insurance system, achieve fairness in medical insurance, improve the degree of protection, and increase the protection project, so as to effectively meet the needs of the basic health care services of the national diversification and to comprehensively improve the national health level. It is help to reduce the incidence of diseases, improve the quality of life, reduce the expenditure on medical expenses, and regulate the health habits of the people by emphasizing the importance of active prevention in the medical insurance sector. That is consistent with the ultimate goal of the health system reform. Active health insurance based on the national big data platform for medical and healthcare management can implement effective health interventions through various medical and economic means, helping to block risk factors before disease formation, thereby extending the individual health cycle and achieving the purpose of maintaining health. It can be foreseen that with the implementation of active medical insurance, the awareness rate of major chronic diseases will increase, and the incidence of major chronic diseases and the number of patients will gradually decrease. Therefore, the economic burden of the national medical and health system will gradually be reduced, so as to meet the growing needs of people for health care. Key words: Health care big data; Health system reform; Medical insurance
基于国家医疗卫生管理大数据平台的医疗保险模式
中国医疗保险的根本目标是建立覆盖全民、统筹城乡、权责明确、保障适度、可持续发展的多层次社会保障体系。要求统一医保制度,实现医保公平,提高保障程度,增加保障项目,从而有效满足国民基本医疗服务多元化的需求,全面提高国民健康水平。通过强调医疗保险部门积极预防的重要性,有助于减少疾病的发病率,提高生活质量,减少医疗费用支出,规范人们的健康习惯。这与卫生体制改革的最终目标是一致的。基于国家医疗健康管理大数据平台的主动健康保险,可以通过多种医疗和经济手段实施有效的健康干预,有助于在疾病形成之前阻断危险因素,从而延长个体健康周期,达到保持健康的目的。可以预见,随着积极医保的实施,重大慢性病的知晓率将会提高,重大慢性病的发病率和患者人数将会逐渐减少。因此,国家医疗卫生系统的经济负担将逐步减轻,从而满足人们日益增长的医疗保健需求。关键词:医疗大数据;卫生体制改革;医疗保险
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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