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第2期 总第109期 南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
2022年4月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 113 ·
Journal
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《欺诈骗取医疗保障基金行为举报奖励暂行办法》的 ［24］国家医疗保障局办公室. 关于推介全国医疗保障经办精
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［18］ 国家医疗保障局办公室. 关于当前加强医保协议管理 ［25］国家医疗保障局. 关于印发医疗保障标准化工作指导
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［19］ 国家医疗保障局. 关于印发《国家医疗保障局政府信 ［26］国家医疗保障局办公室. 关于贯彻执行15项医疗保障
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［20］ 国务院办公厅. 关于印发国家组织药品集中采购和使 ［27］ 国家医疗保障局. 关于印发全国医疗保障经办政务服
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gov.cn/zhengce/zhengceku/2020-12/17/content_5570425. nhsa.gov.cn/art/2020/5/12/art_37_3105.html
html （本文编辑：姜 鑫）

Research on the focus and promotion direction of China’s medical
security work from 2009 to 2020

1
1
ZHANG Min ，ZHENG Nanxuan ，WU Yinxin 1，2，3
1. School of Public Health，Fujian Medical University，Fuzhou 350122；2. Fujian Medical Reform and Development Research
Center，Fuzhou 350122；3. Healthy Fujian Research Center，Fuzhou 350122，China
Abstract：In order to understand the development trajectory，policy focus and policy exploration and
adjustment direction of China’s medical security system，based on the grounded theory，with the help of
NVivo12 software，this study used a combination of qualitative and quantitative methods to analyze the medical
insurance related policies issued by various national departments from 2009 to 2020. The study took the time
when the National Healthcare Security Administration was established in May 2018 as the dividing line to
classify policy documents into two stages for open coding. The results showed that after three⁃level open coding，

91 concepts and 26 categories were extracted from the policy texts from January 2009 to May 2018，and 92
concepts and 29 categories were extracted from the policy texts from June 2018 to December 2020. Comparing
the open coding results of the two stages，and sorting and analyzing them from the category level and the
conceptual level，it can be found that the average annual number of policy releases after the establishment of
the National Healthcare Security Administration was 3.2 times larger than that of the previous ones. Policies in
the following three areas have been significantly adjusted compared with the previous ones，i.e.“supply⁃side
reform of medical services”“medical security public management services”and“reimbursement guarantee
mechanism”.
Key words：medical security；grounded theory；policy text；work focus