Research On The Implementation Of Cross Provincial Medical Settlement Policy In Shanghai From The Perspective Of Holistic Governance

Medical security is the bottom line of people’s livelihood,and the fund of medical security often involves the people’s life-saving money.With the gradual development of China’s economy and society,the degree of freedom of population mobility has been continuously improved,and people’s demand for medical treatment in other places has also been rapidly increasing.However,at present,the level of medical insurance integration in China is relatively low and there are many areas to be coordinated.It still needs time to realize the integration of medical insurance at the policy level.The unbalanced regional economic development in China directly led to the uneven allocation of health and medical resources between regions.The medical resources were concentrated in large cities,and the number of insured persons seeking medical treatment across regions was large,which led to the need for advance payment and reimbursement,and increased the burden of medical treatment for insured persons.Direct settlement of medical insurance for medical treatment in other places is what people expect and want.However,according to the basic situation that people have an urgent need for trans provincial and trans regional medical treatment,China is currently taking the policy measures of networking medical insurance for settlement of trans provincial and trans regional medical treatment.At the same time,by further improving and promoting the hierarchical diagnosis and treatment system to solve the ‘dual concentration’ and ‘inverted triangle’ structure of medical insurance resources,an orderly medical treatment pattern has been achieved to promote social fairness in medical treatment.Therefore,the implementation of the off-site medical insurance settlement policy is particularly important in the link of ensuring the demand for people’s livelihood.The problems and corresponding solutions in the off-site medical insurance settlement need to be studied.Shanghai is a leading city in economic development and population mobility in the country.With comprehensive population composition and rich medical resources,it is a pilot city to implement direct settlement for trans provincial and trans regional medical treatment.Moreover,it is a triangle of regions and regions,which is of great significance for regional cooperation and collaboration,and is representative in the implementation of the policy of medical insurance settlement for trans regional medical treatment.Under the guidance of the holistic governance theory,based on the cross provincial medical insurance settlement in Shanghai,this paper first uses the literature research method to analyze the domestic and foreign research on the policy of off-site medical treatment,and understand the current research status and achievements of domestic and foreign scholars on the off-site medical treatment settlement.Then,based on the actual situation of the current off-site medical treatment policy in Shanghai,we analyzed the existing problems in the implementation of the current off-site medical insurance settlement policy,such as policy publicity deviation,settlement treatment difference,uneven distribution of medical resources,fund supervision risk,incomplete platform construction,and provided data support for this article through specific case data,Analyze the reasons for the problems in the implementation of the cross provincial medical insurance settlement policy in Shanghai,explore and suggest that the medical insurance management department should take meeting the needs of the people as the governance orientation,strengthen policy publicity and guidance,and improve the handling ability;Break down regional barriers and re integrate;Reshape the management process and prevent risks;Strengthen information technology support and connect to the network;Further improve the implementation of off-site medical treatment settlement policy.