Research On The Change Of Chinese Basic Medical Insurance Policy From The Perspective Of Advocacy Alliance

Since the establishment of the market economy system in 1992,the basic medical insurance policy has gradually improved and developed in response to the needs of the public for better medical insurance under the market economy,becoming one of the pillar policies in Chinese public life.From the perspective of public policy change theory,the process of establishment,operation and change of basic medical insurance policy has always related to people's livelihood.A better understanding of this process calls for the description and explanation of the development and improvement of public policy theory analysis tools in recent years.On the basis of criticizing and questioning the stages approach and other public policy research methods,the advocacy alliance theory originated from the western public policy circles has been widely used for its description of the ongoing and continuous process of public policy.Therefore,this paper attempts to systematically analyze the change process of Chinese basic medical insurance policy using the advocacy alliance theory tools during the period from the establishment of market economic system to the present.In order to promote the better development of the basic medical insurance policy and meet the people's expectations for the original intention of the medical insurance policy,this study uses literature research method and qualitative analysis method,through introducing the dimension of advocacy alliance theory analysis tools,and on the basis of a brief review of the evolution of Chinese basic medical insurance policy since the establishment of market economy,elaborates the feasibility of it to analyze Chinese basic medical insurance policy.This study uses this tool to analyze the change process of Chinese basic medical insurance policy in this period of time,and explore the obstacles faced in the change of Chinese basic medical insurance policy and the improvement of its policy changes under the guidance of advocacy alliance theory.Under the guidance of advocacy alliance theory,this study analyzed Chinese basic medical insurance policy in the process of perfecting the market economic system from four dimensions: external events,policy beliefs,alliance resources and policy learning.It was found that under the multiple influence of external events,Chinese basic medical insurance policy coordinated the differences of beliefs,balanced all kinds of medical insurance resources and strengthened government.Under the impetus of strategy learning and other ways,it is constantly improving.However,through in-depth study with the theoretical tool of advocacy alliance,it is found that the change of basic medical insurance policy in China is still facing the insufficient motive force of external factors,which affect the change of medical insurance policy,the difficulty of reconciling policy beliefs in the path of deep change of medical insurance policy,the relatively dispersed information resources of medical insurance,the cross-alliance learning orientation between different medical insurance policy advocacy alliances,and other problems such as insufficient support.From the perspective of advocacy alliance theory,the problems of different advocacy alliances in the external factors,policy beliefs,alliance resources and policy learning are the important factors leading to the difficulties in the change of Chinese basic medical insurance policy.Therefore,according to the thinking of theoretical guidance,finding problems and solving problems,four suggestions are put forward to further improve the basic medical insurance policy change in China: first,strengthening the external factors driving the change of medical insurance policy.The second is to promote the alliance belief of coordinating different medical insurance policy alliances.Thirdly,we should integrate the information resources of relevant parties in the change of medical insurance policy.Fourthly,we should strengthen the policy orientation learning of advocating alliances in the change of medical insurance policy.