我国经济改革进程已进入攻坚阶段,社会能否稳定与社会保障体系有效与否有一定关系,因此,医疗保障制度改革任务迫在眉睫。医疗保障制度有效运作的关键是适宜的医疗费用控制策略,否则,医疗保险制度成空中楼阁,难以为继。医疗费用控制目前仍然是一个悬而未决的国际性难题。在我国,医疗费用过快增长作为焦点问题,已被社会持续关注了十余年。受其影响,我国医疗保险制度的改革难以顺利展开。 另外,社会与卫生事业处于明显的不相协调状态:社会指责医疗费用增长、资源浪费、医德医风和态度质量等,而卫生系统则觉得社会不理解,在正常渠道得不到合理补偿;卫生事 The process of economic reform in our country has entered a crucial stage. There is a certain relationship between social stability and the effectiveness of the social security system. Therefore, the task of reforming the medical security system is imminent. The key to the effective operation of the medical security system is the appropriate medical cost control strategy. Otherwise, the medical insurance system becomes a castle in the air and cannot be sustained. The control of medical expenses is still an unsolved international problem. In our country, the excessive growth of medical expenses is the focus issue and has been continuously followed by society for more than a decade. Affected by this, the reform of China’s medical insurance system is difficult to smoothly start. In addition, social and health services are in a state of inconsistency: The society blames the increase in medical expenses, waste of resources, medical ethics and attitude quality, while the health system feels that society does not understand and cannot get reasonable compensation in normal channels; thing