健康保险是未来公疗改革的方向。因当前受条件的制约,我国大多数地方实行健康保险很难“一步到位”,需要一个“过渡时期”。在这个时期,应该积极准备,集中现行公疗管理模式的优点,针对影响公疗费用的一些可控因素,采取配套措施,为早日实行健康保险打下坚实的基础。一、抓住医院这个关键环节通过对现行公疗管理模式的比较研究,我们发现:把公疗经费交给医院承包代管优于其它公疗管 Health insurance is the direction of future public health reforms. Due to the constraints of current conditions, it is difficult for health insurance in most places in China to be “in one step” and a “transition period” is needed. In this period, we should actively prepare to focus on the advantages of the current management model of public health care, and adopt supporting measures for some controllable factors that affect the cost of public treatment, so as to lay a solid foundation for the early implementation of health insurance. First, to seize the hospital’s key link through a comparative study of the current management model of public treatment, we found that: the public treatment funds to the hospital contracted hosting management is superior to other public health management