*通讯作者:钱东福(1973-),男,山东临沂人,教授,研究方向为卫生体系与政策,dqian@njmu.edu.cn
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1.南京医科大学医政学院;2.南京医科大学健康江苏研究院

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基本医疗服务治理体系研究(国家社会科学基金重点项目,项目编号:20AZD081)


Status and Evolution Trend of Commercial Health Insurance Research in China
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School of Medicine and Politics,Nanjing Medical University

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    摘要:

    目的 分析1995—2020年我国商业健康保险研究的演进趋势以及研究现状、热点和前沿,为我国商业健康保险研究的推进提供经验借鉴。方法 以中国知网期刊全文数据库(China National Knowledge Infrastructure,CNKI)中1995—2020年商业健康保险的文献作为研究对象,运用CiteSpace5.7.R5软件进行可视化分析。结果 共纳入有效文献1063篇,1995—2020年我国商业健康保险研究发文量呈总体递增的趋势;研究机构或学者之间缺乏合作交流;商业健康保险、医疗保险、健康保险等是商业健康保险研究的高频词;大病保险、新医改、国务院等是商业健康保险的突现词;不同阶段商业健康保险关注的主题不同,1995—2003年更关注计算机互联网技术在商业健康保险领域的应用,2003—2009年,更关注商业健康保险的专业化经营,2009—2015年,更关注商业健康保险险种的精细化与精准化研究,2015—2020年,紧随政府税收优惠政策,聚焦于大健康产业。结论 商业健康保险供给侧改革和需求侧管理将是未来重点;财经保险类高校、公司及其学者与医学健康类高校、医院及其学者之间的合作将为商业健康保险的研究打开新局面;商业健康保险将朝大病保险、长期护理保险等精细化、精准化险种研究和健康产业链等体系化产业研究方向演变;循证与计量方法将是保险研究的重要工具。

    Abstract:

    Objective Analyzing the research evolution trend, status, hot spots and frontier of commercial health insurance from 1995 to 2020, to provide experience for the promotion of commercial health insurance research in China. Method Based on China National Knowledge Infrastructure, the research literatures related to commercial health insurance from January 1995 to December 2020 were systematically screened, and CiteSpace5.7.R5 software was used for visual analysis. Result A total of 1063 valid literatures were included, the number of commercial health insurance research literatures was increasing as a hole from 1995 to 2020; lack of cooperation and communication between research institution or scholars; commercial health insurance, medical insurance, health insurance were the high-frequency terms; critical illness insurance, new health reform, the State Council were the burst terms; the research focus varied at different stages, with more focus on the application of computer Internet technology between 1995 and 2003, specialized management between 2003 and 2009, refinement and precision of insurance types between 2009 and 2015, and following preferential tax policies of the government and focusing on the big health industry between 2015 and 2020. Conclusion Supply side reform and demand side management of commercial health insurance will be the focus of future research; cooperation between financial insurance research institutions or scholars and medical research institutions or scholars will open a new prospect for commercial health insurance research; commercial health insurance will evolve to the direction of fine precise insurance and systematic industry research of health industry chain; evidence-based and metrological methods will be important tools for insurance research.

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  • 收稿日期:2021-10-20
  • 最后修改日期:2021-11-20
  • 录用日期:2021-12-21
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