关键词: 医疗保障基金使用监督管理条例, 医疗保障基金监管, 广东省

Abstract: Objective To understand the specific implementation of the “Regulation on the Supervision and Administration of the Use of Healthcare Security Funds”（hereinafter referred to as the “Regulations”）in Guangdong Province,analyze its existing problems and challenges,and propose improvement suggestions．Methods A questionnaire was designed based on the “Regulations”,and a convenience survey method was adopted to conduct questionnaire surveys among regulatory personnel related to medical insurance funds and hospital staff．Further in-depth interviews were conducted around relevant themes to gain a more comprehensive understanding of the implementation of the “Regulations．” Results The implementation of the “Regulations” has effectively curbed violations,improved regulatory efficiency,implemented a credit management system,and promoted service standardization and cost rationalization．However,challenges remain,such as difficulties in regulating certain violations,suboptimal policy training outcomes,and weak technical support capabilities．Conclusions On the basis of continuously advancing existing regulatory measures,it is necessary to further refine the specific content of the “Regulations” strengthen policy training and publicity efforts,and continuously improve information technology support methods to better enhance the effectiveness of fund supervision．

Key words: Regulation on the Supervision and Administration of the Use of Healthcare Security Funds, medical insurance supervision, Guangdong Province