我国现行的公费医疗制度,是建国初期国家对行政事业单位工作人员等实行的一项医疗保健制度。三十多年来,随着社会主义建设事业的发展,享受公费医疗的人数大大增加,国家开支的医疗经费也有很大增长。这对保障干部、职工的身体健康,促进社会主义建设事业的发展起了重要的作用。总的说,我国的公费医疗管理工作是好的,在加强管理,节约支出,深入进行改革方面都取得了一定成绩。各级政府和卫生等有关部门,以及医疗单位和享受单位都做了大量工作,许多地方和单位还针对公费医疗管理工作中的问题,积极探索改革公费医疗管理工作中的问题,积极探索改革公费医疗制度的路子,并进行了试点,收到了明显的效果,创造了一些好的经验,归纳起来主要有如下几条:①领导重视,把公费医疗管理工作纳入重要议事日程;②建立公费医疗管理机构,有专人管理日常工作;③健全必要的规章制度,包括联审互查制度,并认真执行;④卫生、财政等部门密切配合,协同一致,互相支持;⑤坚持因病施治、合理用药、合理检查、合理治疗的原则,把公费医疗管理纳入医院经济管理或岗位责任制的考核内容;⑥认真贯彻预防为主的方针,增强干部、职工体质;⑦医疗单位、享受单位、职工个人以及财政部门相互制约, The current public-funded medical care system in China is a medical and health care system implemented by the state at the initial stage of the founding of the country. For more than three decades, with the development of socialist construction, the number of people enjoying publicly funded medical services has greatly increased, and there has also been a large increase in medical expenses for state expenditure. This has played an important role in protecting the health of cadres and workers and promoting the development of socialist construction. In general, China’s public health care management work is good. It has achieved certain results in strengthening management, saving expenditures, and conducting in-depth reforms. Governments at all levels and health and other related departments, as well as medical and institutional units, have done a lot of work. Many localities and units have also actively explored the problems in the reform of publicly funded medical management and actively explored reforms of public funds in response to problems in publicly funded medical management. The path of the medical system was piloted and received obvious results. Some good experiences were created and summarized as follows: 1) Leaders attached importance to the management of publicly funded medical care; 2 Established public medical management Institutions have special personnel to manage their daily work; 3 improve the necessary rules and regulations, including joint review and mutual inspection systems, and implement them earnestly; 4 the departments of health and finance closely cooperate with each other in a concerted and consistent manner to support each other; 5 adhere to the treatment of diseases and rational use of drugs , reasonable inspection, reasonable treatment principles, the public medical care management into the hospital’s economic management or post responsibility system assessment content; 6 conscientiously implement the principle of prevention-oriented, and strengthen the cadres, staff physique; 7 medical units, enjoy units, employees and individuals The financial sector restricts each other.