随着卫生改革的深化,医疗单位经营机制的强化,企事业职工队伍老龄化及其对医疗服务需求的提高,公费医疗经费快速上涨已成为具有普遍性的问题。近年来各地公费医疗改革有的在酝酿,有的已起步,但无统一的管理形式。各种管理形式都不同程度地抑制了公费医疗费用的上涨,但都存在一些弊端,至今尚无至臻完善的管理形式。因而探讨不同管理形式对公费医疗经费的影响,制定适宜的公费医疗经费管理政策,确保公费医疗改革的顺利进行,是公费医疗改革十分现实的问题。 With the deepening of health reforms, the strengthening of medical institutions’ operating mechanisms, the aging of enterprises and employees, and the increasing demand for medical services, the rapid rise in public funding for medical expenses has become a universal problem. In recent years, some public funded medical reforms have been brewing and some have started but there is no unified form of management. Various forms of management have inhibited the rise of publicly-funded medical expenses to varying degrees, but they all have some drawbacks. To date, there is still no perfect management form. Therefore, exploring the impact of different forms of management on publicly funded medical expenses, formulating appropriate policies for the management of publicly funded medical expenses, and ensuring the smooth progress of publicly funded medical reforms are very realistic problems in the reform of publicly funded medical care.