公费医疗管理是一项涉及面广、政策性强、难度大、关系到群众切身利益的工作。公费医疗管理难就难在三方（财政、医疗单位、享受者）协作存在矛盾：财政支出逐步增长而难以承受；享受者抱着“大锅饭”思想。所以，现在公费医疗费用超支、浪费严重。为了协助堵漏，减少浪费，笔者认为，开展联审协作是强化管理的途径，其目的是积极探索医疗 Publicly funded medical management is a job that involves a wide range of policies, is of a strong policy, is difficult, and concerns the vital interests of the people. The management of publicly funded medical care is difficult to have a conflict in the cooperation of the three parties (financial, medical units, and enjoyers): fiscal expenditures are gradually increasing and it is difficult to bear; the enjoyers hold the idea of ​​“big pot rice”. Therefore, public medical expenses are now overspending and wasted. In order to assist in plugging and reduce waste, the author believes that joint trial coordination is a way to strengthen management, and its purpose is to actively explore medical care.