Healthcare Security Principles and Policies: Teaching Materials for Health Service Management in Higher Medical Colleges

Author: Wu Ming
Publisher:
Publish Date: 2003-02-01
Features: This textbook emphasizes theoretical rigor, systematic structure, practicality, and a certain degree of forward-thinking. It focuses on both the fundamental theories and methods of healthcare security while reflecting current research findings, practical activities, and experiences in healthcare reform both domestically and internationally. The textbook is divided into 10 chapters. The first three chapters introduce the social security system, the healthcare security system, and the healthcare financing system, aiming to help readers understand the position of the healthcare security system within the social security system, its relationships with other social security systems, as well as its characteristics and functions. It also highlights the reforms of China's urban and rural healthcare security systems and their influencing factors, providing an in-depth theoretical analysis of the role of healthcare financing systems and the factors affecting China's healthcare financing model choices. The last seven chapters focus on the key content of the healthcare security system—medical insurance. Chapters 4 and 5 elaborate on the basic theories and fundamental knowledge of medical insurance, while Chapters 6 to 10 provide in-depth introductions to the theoretical, methodological, and operational aspects of medical insurance at the technical level, including the scope of medical insurance and the definition of basic medical services, the calculation of medical insurance premiums, the control of medical insurance costs, as well as the commercial medical insurance system and its development.