我国的经济模式由高度集中的计划经济转向社会主义市场经济,医疗卫生服务发展模式必须实现向市场经济下的医疗服务发展模式转变。医疗保险制度改革是这个改革中引人注目的一个问题。深圳在全国率先大范围地开展了医疗保险改革,其他一些城市也正在开展这项改革。由于医疗保险是个新生事物,各地都没有现成的工作经验,改革中不可避免地会出现各种偏差,医疗保险的监督工作就显得日益重要。如何有效地进行医疗保险监督,既控制医疗费用的不合理增长,又真正促进整个社会的医疗保健水平,使医疗保险改革能更顺利地开展,是新形势下卫生体制改革面临的一个新课题。 China’s economic model has shifted from a highly concentrated planned economy to a socialist market economy. The mode of development of medical and health services must be transformed into a mode of development of medical services under a market economy. The reform of the medical insurance system is a conspicuous issue in this reform. Shenzhen took the lead in nationwide to carry out the medical insurance reform on a large scale, and other cities are also carrying out this reform. As medical insurance is a new-born thing and there is no ready-made work experience anywhere, there will inevitably be various deviations in the reform. It is therefore increasingly important to supervise medical insurance. How to supervise medical insurance effectively can not only control the unreasonable increase of medical expenses, but also really promote the level of medical care in the whole society so that the medical insurance reform can be carried out more smoothly. This is a new task for the reform of the health system in the new situation.