公费医疗费的大量超支,迫使人们就其管理体制进行了改革探索。本文在总结各地改革经验的基础上,深入分析引起公疗费超支的各种因素,指出在商品货币经济大环境下,卫生费用上涨的必然趋势,加上沿袭旧的供给制体制以及用药缺乏有效制约手段等弊端。作者从社会主义初级阶段出发,就如何实现既能保障职工有病就医,又能缓解经费困难等近期目标,提出实行变单位管理为社会化管理、变单纯消费型为管理经营型新体制,扩大社会互助面,增强社会保障能力的设想。 The large overspending of publicly funded medical expenses forced people to carry out reform explorations of their management system. On the basis of summarizing the experience of local reforms, this article analyzes in depth the various factors that cause overexpenditures of public medical expenses, and points out the inevitable trend of rising sanitary costs under the macroeconomic environment of commodity currencies, together with the old supply system and the lack of effective restrictions on the use of drugs. Means and other drawbacks. Starting from the primary stage of socialism, the author proposes to implement the new system of managing management by changing the unit’s management to social management and changing the consumer’s consumption to a short-term goal such as how to achieve protection of employees’ illnesses and medical treatment while also alleviating funding difficulties. The concept of social mutual assistance and enhancement of social security capabilities.