医疗费用支付方式与费用控制,是当前我国职工医疗制度改革需研究的一个重要方面。将平均住院费作为职工住院医疗费的支付标准,方法虽然简便,但由于不同病种之间医疗费用差别很大,客观上存在不合理性,其结果会影响到高费用病人的治疗质量,甚至会造成医院不愿收治重病人的现象。按病种成本确定支付标准是我国职工医疗制度和各种医疗保险研究的一项重要内容。由于它涉及到按疾病 The payment methods and cost control of medical expenses are an important aspect that needs to be studied in the current reform of the medical system of Chinese workers. The average hospital fee is used as the payment standard for the employee’s hospitalization fee. Although the method is simple, due to the great difference in medical expenses between different types of diseases, there is objectively unreasonableness, and the result will affect the quality of treatment for high-cost patients. It will cause hospitals to refuse to treat patients seriously. Determining the payment standard according to the cost of the disease is an important part of the research on the medical system of the employees and various medical insurances in China. Because it involves disease-by-disease