一、前言长期以来,公费医疗经费主要由国家财政支出,公费医疗经费的水平由国家根据需要与可能,定出每人每年享受定额,超支部分由地方财政补贴。近年来,由于各种因素的作用,虽然开支标准一再提高,仍不断出现超支现象。这种支出对财政部门压力很大,因此,如何加强对公费医疗经费管理,尤其是适度控制其过快增长是迫切需要解决的问题。在这方面,各地采取 I. Preface For a long period of time, public expenditure on medical expenses has been mainly financed by the state, and the level of publicly-funded medical expenses has been determined by the state according to needs and possibilities. The per capita annual enjoyment is fixed, and the over-expenditure part is subsidized by local finance. In recent years, due to the effects of various factors, although expenditure standards have repeatedly increased, overspending has continued to occur. This kind of expenditure has great pressure on the financial sector. Therefore, how to strengthen the management of publicly-funded medical funds, especially to properly control its excessive growth, is an urgent problem to be solved. In this regard, everywhere