Integration of the Medical Insurance System and the Construction of Humanistic Hospitals
Yang Pu
Li De-qin
Meng Xiao-bo
Zhuang Zhong
Abstract：This study takes public hospitals in Nanjing as the empirical object,systematically analyzes the dynamic balance between the medical insurance system and the construction of humanistic hospitals in the high-quality development of public hospitals,and reveals the resonance effect between digital governance and cultural identity.Based on the theory of social identity and the theory of cultural synergy,it is found that the medical insurance system under digital governance strengthens institutional rigidity through data transparency and process standardization,while the cultural identity of humanistic hospitals builds flexible support through value internalization and humanistic care.The two work together to form a governance closed loop of"system-technology-culture"in a trinity.Data show that from 2022 to 2024,the average personal cost per visit for patients participating in medical insurance has been decreasing year by year over the three years,presenting a win-win situation for medical insurance,hospitals and patients.The average patient satisfaction score in Nanjing rose from 96.97 points in January 2023 to 98 points in November 2024.The synergy effect driven by two dimensions has been verified.This research provides a theoretical paradigm and useful reference for public hospitals in the new era to break through the path dependence of scale expansion and achieve connotative development.
Keywords：Medical insuranceHospital cultureDigital governanceCultural identity
Publication Date：2025-09-20
Online Publishing Date：2025-11-17(First online date of this platform, not the publication date of the document)
Pages：5( 32-36 )