公费医疗经费超支的原因是多方面的,据我们对城市与农村的调查发现还各有其超支的特殊原因。但最根本的原因,一是医疗费姓“公”,这是根本,这要研究如何与个人利益联系在一起;二是医疗服务作为一种特殊的商品在交换过程中,不是由购买者即患者依据自己的经济力量和需要进行选择,而是由出售者即医生所决定,加之在医疗结算过程中没有充分利用现金结算的职能作用。 There are many reasons for the overspending of publicly funded medical expenses. According to our survey of urban and rural areas, there are special reasons for overspending. However, the most fundamental reason is that the medical expenses are “public”. This is fundamental. It is necessary to study how to link with personal interests. Second, medical services as a special commodity are not purchased by the buyer. The patient chooses according to his own economic strength and needs, but is determined by the seller, the doctor, and the function of cash settlement is not fully utilized in the medical settlement process.