Medical Security: For use in health management majors

Author: Wang Baozhen, Editor-in-Chief
Publisher:
Publishing Date: 2005-03-01
Features: This book places great emphasis on the elaboration of fundamental theories, knowledge, and skills in medical security. It focuses on the ideological, scientific, advanced, and inspirational aspects of the teaching material. The book is divided into seventeen chapters: Chapter 1 outlines the medical security system; Chapters 2 to 10 focus on the concept of social medical insurance, the medical insurance market, the scope of services and security, the raising, calculation, and management of funds, the payment and control of expenses, the medical service management of medical insurance, information system management, medical insurance law, and the evaluation of medical insurance; Chapters 11 to 13 respectively discuss commercial medical insurance, supplementary medical insurance, medical aid, and other forms of security within the multi-tiered medical security system; Chapter 14 emphasizes the analysis of medical security forms in rural China, Chapter 15 introduces foreign medical insurance models, and Chapters 16 and 17 discuss the current status, problems, and reform practices of medical security both domestically and internationally, while also outlining future trends in reform and development. The appendix introduces actuarial methods for medical insurance in the United States.
Features of the Teaching Material "Medical Security":
1. Emphasis on Key Points: Based on a comprehensive elaboration of the medical security system, the book dedicates nine chapters to discussing the core component of the system—social medical insurance.
2. Innovation: In terms of content, chapters on the calculation and management of social medical insurance funds, medical service management, payment methods for medical insurance, cost control, and medical insurance information system management introduce innovations; in terms of structure, it breaks away from focusing solely on single social medical insurance and pioneers the introduction of a multi-tiered medical security system into university teaching materials; in terms of references, it primarily uses findings or data from 2000 onwards, includes case studies, and the actuarial methods introduced in the appendix are also novel, striving to keep the material aligned with contemporary needs.
3. Close Integration of Theory and Practice: The editorial team includes scholars from universities specializing in public management and medical sciences, dedicated to teaching and researching medical insurance, as well as experienced management experts with rich practical experience in social medical insurance. While elaborating on fundamental principles and methods, the book separately discusses practical issues of widespread public concern, such as rural medical security, medical aid, and trends in domestic and international medical security reforms, presenting the editors' unique insights.
The book is primarily intended for students majoring in health management; it can also serve as a teaching reference for undergraduates and postgraduates in preventive medicine, medical sciences, and related fields. Additionally, it is suitable for in-service and job training in social security and hospital management.