我们山东省1956年的公费医疗经费,仍有不少地区超支,而且超支的比例逐年上升,省直属机关公费医疗经费超支数占应领数的比数,按同一标准计算,1954年为18.5%,1955年为33%,1956年为42%。对公费医疗经费超支的原因,有三种说法:一种认为是标准低了,一种认为是发病率提高了,再一种认为是管理上有缺点。在这三种说法中,那一种是主要的呢?我个人以为第三种说法是主要的。如果是标准低了,那么应该是普遍超支或绝大多数地区超支;但事实上,超支最多的却是标准较高的省、市两级,标准较低的 In 1956, there were still many areas of overexpenditure in public funds for medical expenses in Shandong Province in 1956. The proportion of overspending has been increasing year by year. The percentage of overexpenditure of publicly funded medical expenses of provincial directly-affiliated organizations accounted for the same number of criteria. According to the same standard, it was 18.5% in 1954. It was 33% in 1955 and 42% in 1956. There are three reasons for the overexpenditure of publicly funded medical expenses: one is that the standard is low, and the other is that there is a disadvantage in management. Of the three arguments, which one is the main one? I personally think that the third argument is the main one. If the standard is low, it should be generally over-expended or over-expenditure in most regions; but in fact, the ones that have the most over-expenditures are the higher-level provincial and municipal levels with lower standards.