基于三维分析框架的“互联网+”医疗服务医保支付政策量化研究

目的：为完善我国“互联网+”医疗服务医保支付政策提供参考。方法：从政策工具、参与主体和政策落点三个维度，分析我国31个省份已出台的“互联网+”医疗服务医保支付相关政策的分布特征，共收集政策文件58份，形成1 585个文本条目。结果：政策工具（X维度）共筛选597个文本条目，其中，供给型、需求型、环境型分别占20.6%、16.6%和62.8%。参与主体（Y维度）共筛选574个文本条目，政策落点（Z维度）共筛选414个文本条目。结论：政策工具存在结构性失衡，应提升互补性和协调性；参与主体的政策工具应用差异较大，应深化主体间的分工协同；政策落点的实践性不强，应加强环节间的紧密衔接；地区间政策分布不够均衡，应因地制宜优化政策设计。

Study on quantitative evaluation of China's internet plus medical service medical insurance payment policy based on three dimensional analysis framework

Objective: To provide reference for improving the provincial Internet plus medical service medical insurance payment policy in China. Methods: From three dimensions of policy tools, participants and policy placement, the distribution characteristics of the Internet plus medical service and medical insurance payment related policies that have been issued in 31 provinces of China were analyzed. A total of 58 policy documents were collected, forming 1585 text items. Results: A total of 597 text items were selected for policy tools (X dimension), with supply based, demand based, and environmental based policy items accounting for 20.6%, 16.6%, and 62.8%, respectively. A total of 574 text items were selected for the participating entities (Y-dimension), and 414 text items were selected for the policy placement (Z-dimension). Conclusion: There is a structural imbalance in policy tools, and complementarity and coordination should be enhanced. There are significant differences in the application of policy tools among participating entities, and the division of labor and collaboration among participating entities should be deepened. The practicality of policy implementation is not strong, and close connections between links should be strengthened. The distribution of policies among regions is not balanced enough, and policy design should be optimized according to local conditions.