The medical insurance system refers to a institutional framework established by a country or region to address residents' healthcare needs through the collection, allocation, and utilization of medical insurance funds in accordance with insurance principles. It serves as an effective financing mechanism for public healthcare, represents an advanced component of social security systems, and currently constitutes one of the most widely adopted health expenditure management models globally.
China's basic medical security system comprises four key components: the Urban Employee Basic Medical Insurance, Urban Resident Basic Medical Insurance, New Rural Cooperative Medical Scheme, and Urban-Rural Medical Assistance System. Since 1997, government authorities have intensified efforts to enhance the medical security framework, achieving groundbreaking progress in establishing the world's largest medical security system. However, challenges persist due to China's vast population and regional economic disparities, including relatively low overall coverage levels, significant benefit gaps among populations, insufficient mobility adaptability, and sustainability concerns.
The medical security system maintains direct interaction and mutual influence with healthcare services. While medical insurance functions must be realized through purchasing medical services, this purchasing process simultaneously promotes healthcare system development. On one hand, the continuous improvement of the medical security system provides stable funding sources for national health initiatives, ultimately translating into healthcare institution revenues through service procurement, thereby ensuring sustained financial support for medical development. On the other hand, as representatives of insured populations' interests, medical insurance institutions exercise supervisory, restrictive, and guiding roles over medical institutions during service procurement processes, facilitating the formation of external checks-and-balances mechanisms, standardizing medical service practices, and advancing healthcare system reforms and institutional management enhancements.
To support related research, CnOpenData presents China's Medical Insurance Designated Service Institutions Data, encompassing nationwide information on designated medical institutions, designated retail pharmacies, and medical insurance agencies. To facilitate academic utilization, CnOpenData has precisely identified geographic coordinates (latitude and longitude) of medical institutions across all tables and provided formatted administrative division information at provincial, municipal, and county levels.
Time Coverage
As of January 31, 2023
Data Scale
Field Presentation
Sample Data
Given the multi-table structure of this dataset, partial tables are displayed on this page. Detailed content can be accessed through the left-side sub-tables.
定点医疗机构信息表
定点零售药店信息表
医保机构信息表
Data Update Frequency
Annual Update