Medical Insurance Information Systems in China: Mixed Methods Study
BackgroundFigure 1. The three phases of the development of China’s medical insurance information systems (MIISs). Objective
OverviewFigure 2. Flowchart of methods used in the study. Literature ReviewPolicy ReviewPolicy ListPolicy AnalysisQuestionnaire SurveyTelephone Interview
Analysis of Functions Realized by Historical Information SystemsBusiness Modeling for China’s MIISsFigure 3. Business model chart of China’s medical insurance information systems (MIISs), modified from the the National Health Information Database of the National Health Insurance Service in South Korea (Cheol Seong et al, 2017). Analysis of the Evolution of Information System–Related PoliciesOrganizational Structure AnalysisBusiness Process AnalysisData AnalysisBusiness Rules AnalysisAnalysis of Information System FunctionsMain Functions of China’s MIISsFigure 4. Distribution of business function modules used in various provinces in China according to questionnaire feedback. Analysis of Infrastructure and Identity Recognition MediaNetworking ModeFigure 5. Analysis of networking modes adopted by medical insurance information systems (MIISs) in each province in China. Identity Recognition MediaAnalysis of Data Storage and Data UtilizationInterconnectivity of Information SystemsFigure 6. The interconnection between the medical insurance information systems (MIISs) and the surrounding information systems in each province. Data Storage Types at Provincial Information CentersAnalysis of Data Utilization as well as Security and Privacy Protection PoliciesUrgent Needs in Various Regions During the Period of Integration and Transition of MISs
Building Model of China’s Basic MIISs in the FutureInformation Exchange and Data UtilizationBalancing the Stake Between Informed Consent for Privacy Protection and Data Mining and Utilization in a Context of Big DataLessons From COVID-19 for Building of MIISsConclusions
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