在社会保障领域 ,公平与效率孰轻孰重以及如何整合二者以达到社会福利最大化问题始终是学者们争论的焦点。本文选取社会保障领域中的医疗保障制度作为切入点 ,分析了医疗保障制度中公平性与效率性原则 ,提出我国应该借鉴国外其它国家的经验教训 ,整合公平与效率的价值取向 ,不断完善医疗保障制度改革 In the area of ​​social security, the issue of fairness and efficiency and how to integrate the two in order to achieve the maximization of social welfare has always been the focus of debate among scholars. This article selects the medical security system in the field of social security as an entry point, analyzes the principle of fairness and efficiency in the medical security system, points out that our country should draw lessons from the experiences and lessons of other countries, integrate the values ​​of fairness and efficiency, and constantly improve the medical insurance System reform