90年代以来,门诊病人和住院病人的人均医药费用每年都有不同程度增长。医药费用不合理过快增长,不仅加重了人民群众和国家财政的负担,也直接关系到卫生事业和国民经济的发展。为了扼制医药费用增长的现状,近两年来,国家推出了“医药分开核算,分别管理”等改革措施,取得了一定的成效。最近由国务院办公厅批转的国务院体改办等8个部门联合下发的《关于医药卫生体制改革的指导意见》明确提出了“要在逐步规范财 Since the 1990s, per capita medical expenses of outpatients and inpatients have increased at varying degrees each year. The unjustified excessive growth of medical costs has not only increased the burden on the people and the state finance but also directly related to the development of health undertakings and the national economy. In order to curb the current situation of the growth of medical expenses, in the past two years, the state has introduced such reform measures as separate accounting for pharmaceuticals and separate management, and achieved some success. The Guiding Opinions on the Reform of the Medical and Health System jointly issued by 8 departments such as the State Council’s Office for Restructuring Organizations recently approved by the General Office of the State Council clearly put forward that ”