本研究以协同理论、制度经济学、行动者网络理论与政策用户等相关理论为主要指导，综合运用制度分析、利益相关者分析、综合指数评价、回归分析等多学科研究方法，针对我国新医改进程中出现的因医保缺乏内部衔接或外部联动而导致的改革成本被转嫁给参保者的现象，基于“理论框架构建—现状评估—问题诊断—成因分析—优化建议”的基本研究思路，探讨医保协同的概念、内涵、问题界定标准、研究内容与参保者受益导向的多视角理论框架；构建关注参保者客观受益与主观体验的综合指数评价指标体系，并利用截面数据与时间序列数据对参保者实际受益情况作出不同地区、制度与时间的多维评估；运用主题分析、灰色关联分析等方法探索影响参保者受益的关键医保协同问题；从宏观环境—中观制度与组织—微观认知与行动的多层视角探索协同问题的成因与影响因素；在对建议池的TOPSIS分析与对医保决策者的类型化研究的基础上，提出有针对性的医保协同效果优化建议。

Under the guidance of synergy theory, institutional economics, actor network theory and policy user theory, this study makes comprehensive use of multi-disciplinary research methods, such as institutional analysis, stakeholder analysis, comprehensive index evaluation, regression analysis and so on. In theview of the phenomenon that the reform cost which was caused by the lack of internal connection or external linkage of medical insurance in the process of new medical reform in China has been passed to the insured,Based on the basic research ideas of "theoretical framework construction-comprehensive index evaluation-problem diagnosis-analysis of key problem causes and influencing factors-optimization suggestions", This paper discusses the connotation, defining standard, research content and beneficial orientation of the medical insurance coordination problem in a multi-angle theoretical framework.Constructing a comprehensive index evaluation index system which focuses on the objective benefit and subjective experience of the insured, and using cross-section data and time series data to make multi-dimensional assessment of the actual benefit of the insured in different regions, systems and time.Using the methods of thematic analysis and grey correlation, this paper explores the key medical insurance coordination problems that affect the benefit of the insured.This paper explores the causes and influencing factors of synergy from the perspective of macro-environment-meso-system to organization-micro-cognition and action.On the basis of the TOPSIS analysis of the suggestion pool and the different types of research on the decision makers of health insurance, the paper gives some suggestions to the optimization of the cooperative effect of medical insurance.