对医疗机构的行为实施适当监督对于控制不合理医疗开支、保证医疗市场高效运作是非常必要的。实践中,这一职能能否顺利实现由医保的管理结构(包括政策管理与财务管理)决定。医保之间的管理结构通过影响整个医疗市场结构与竞争模式以及竞争力度来达到制约供方的目的,作用虽然是间接的,然而影响却 Appropriate supervision of the behavior of medical institutions is necessary to control the unreasonable medical expenses and ensure the efficient operation of the medical market. In practice, this function can be successfully implemented by the health care management structure (including policy management and financial management) decision. The management structure between Medicare and Health Insurance can achieve the purpose of restricting the supply side by influencing the structure and competition pattern of the entire medical market and the competition. The effect is indirect. However,