Study On Outpatient Mutual Aid Security Of Workers’ Basic Medical Insurance Under The Background Of Healthy China

With the development of China’s medical and health undertakings and the transformation of medical needs of social members,the inherent defects and disadvantages of the personal account of basic medical insurance for urban employees are becoming increasingly prominent,which not only weakens the actual treatment level of outpatient security for employees,but also reduces the allocation efficiency of medical resources.The reform of the personal account of basic medical insurance for urban employees is imminent.In April2021,the general office of the State Council issued the guiding opinions on establishing and improving the outpatient mutual aid security mechanism of basic medical insurance for employees,which made an overall deployment and pointed out the reform direction for reforming the individual accounts of medical insurance for employees and solving the problem of outpatient security for insured personnel.Under this background,this paper will further analyze the basic concept of outpatient security of employee medical insurance Highlight the problems and explore the practical path of establishing and improving the outpatient mutual aid guarantee mechanism of employee medical insurance.The issue of employee medical insurance personal account has been a hot issue in the academic circle for a long time.It has formed the views of weakening the function of employee medical insurance personal account and reforming personal account by means of equity replacement.However,there is still a lack of in-depth and systematic research on the concept transformation and functions of outpatient security.At present,the healthy China strategy has become the guiding ideology and foothold of China’s medical security system,and it is also the basic purpose of outpatient mutual security of employee medical insurance.Therefore,under the background of healthy China,based on the theory of health sociology,this paper discusses the concept transformation,functional analysis and practical exploration of outpatient security of employees’ basic medical insurance.This paper systematically combs the development process of outpatient security of basic medical insurance for employees in China,and holds that under the institutional arrangement of the combination of unified accounts,there are some problems in the outpatient security of basic medical insurance for urban employees in China,such as the impairment of mutual assistance and mutual assistance,the insufficient level of mutual assistance and mutual security,the lack of concept of disease prevention,and the low utilization efficiency of medical resources,These problems are prominent manifestations of social medicine.In recent years,there has been a discourse shift from social medicine to social health in the academic circles,which coincides with the healthy China strategy.This requires that the outpatient mutual assistance security of employees’ basic medical insurance should have the new era function of promoting the integration of medical insurance system,improving the health level of the whole people,guiding a healthy lifestyle and optimizing the allocation of medical resources.Specifically,under the basic framework of taking into account health and sustainability,the outpatient mutual aid guarantee of employee basic medical insurance should focus on reform and innovation in improving the specific outpatient overall planning system,optimizing the financial structure and rationalizing the management and service system,pay attention to the orderly connection with the reform of the medical and health system,and improve the outpatient mutual aid guarantee mechanism of employee medical insurance through effective three medical linkage,Make the system more equitable and sustainable.