山东省临沂专区各县在1957年年初降低公费医疗经费的标准后,没有在管理方法上采取相应的改进措施,一般仍采用预算由卫生科具体管理,经费由各开支部门和医疗单位按月据实向卫生科结报的老办法。这样就使预算管理和具体掌握开支脱节,不能发挥各开支部门和医疗单位对公费医疗经费管理的积极性,使经费开支有些浪费。另外,公费医疗经费用的是否得当、有无浪费,在医疗单位的诊断、处方、给药等 After reducing the standard for publicly-funded medical expenses at the beginning of 1957, counties in Linyi Prefecture of Shandong Province did not adopt corresponding improvement measures in their management methods. Generally, they still use budgets for specific management by the Department of Health. The funds are used by monthly expenditures of various expenditure departments and medical units. The old method of reporting to the Health Section. In this way, budget management and specific expenditures are out of touch, and the enthusiasm of the various expenditure departments and medical units for the management of publicly funded medical expenses cannot be exerted, and the expenses of funds are wasted. In addition, whether the medical expenses of publicly funded medical expenses are appropriate, whether there is waste, diagnosis, prescription, administration, etc. in medical units