基本医疗保险制度实施后,不少参保人员反映个人负担较重,其原因是多方面的,有个人观念上的问题,有医疗服务管理方面的问题,也有医德医风方面的问题。现将具体原因分析如下: 一、医院医疗服务管理不到位。加强医疗服务管理,重点是控制费用和保障医疗服务水平,两者不能偏颇。有的医疗机构却把两者对立起来,认为要控制医疗费用,就难以保证医疗服务水平;要保证医疗服务水平,就只有提高医疗费用。国务院提出,“三 After the implementation of the basic medical insurance system, many insured persons reflect the heavier personal burden for many reasons, including personal conceptions, medical service management issues and medical ethics issues. The specific reasons are as follows: First, the hospital medical service management is not in place. To strengthen the management of medical services, with emphasis on controlling costs and safeguarding medical services, can not be biased. Some medical institutions have put the two sides in opposition. They think it is hard to guarantee the level of medical service to control medical expenses. To ensure the level of medical service, only medical expenses should be raised. State Council proposed, ”Three