Integrated management of medical security funds and medical services:International experiences and China’s practices

Integrated management of medical security funds and medical services conforms to characteristics and requirements of medical security schemes. Three models such as the Separate Model,the Half-integrated Model and the Fully-integrated Model,are shaped when three elements such as medical security funds,medical service delivery and medical service supervision,are weighed and chosen in establishing the administrative structure of medical security systems. A tendency of choosing the Fully-integrated Model is shown in different types of medical security systems worldwide. The Fully-integrated Model has shown more advantages in China than the Separate Model. A new health administrative system featured by integrated management of medical security funds and medical services should be established,with integrated executive resources and reformed supervising mechanism of health authorities.