目前,我国按统帐结合原则进行医改模式主要有两种:一是以九江、镇江为代表的通道式(个人帐户和自付段用完可继续使用社会统筹),二是以海南为代表的双轨式(个人帐户与社会统筹分块运作,个人帐户只管门诊,社会统筹只管紧急抢救或住院)。这两种模式各有特色,也各有不足之处。 At present, there are mainly two types of medical reforms in China based on the principle of unified accounting: one is the channel type represented by Jiujiang and Zhenjiang (the individual accounts and self-paid segments are used up and can continue to use social pooling), and the second is represented by Hainan. Dual-track type (individual accounts and social co-ordination work in blocks, individual accounts are only for out-patients, social co-ordination is only for emergency or hospitalization). These two modes have their own characteristics and also have their own inadequacies.