山东省沂源县地处鲁中腹地,沂蒙山区西北边缘,54万人,是全省重点扶持的贫困县之一。目前,享受公费医疗人数为9,500人。一、基本做法近几年来,沂源的经济和社会事业发展较快,但是社会保障制度改革步伐相对滞后,医疗费用年年超支。1992年度医疗费用支出209万元,人均237元,1993年度支出236.5万元,人均246元;1994年度支出290.5万元,人均305元。医疗费用增长过猛过快的主要原 Yiyuan County, Shandong Province is located in the hinterland of Shandong, Yimeng Mountain northwest edge of 540000 people, is the province’s key support for poverty-stricken counties. Currently, the number of people enjoying public medical services is 9,500. First, the basic approach In recent years, Yiyuan’s rapid economic and social development, but the pace of social security reform is lagging behind, the annual cost of medical expenses over-expenditure. In 1992, medical expenses were 2.09 million yuan, 237 yuan per capita. In 1993, the expenditure was 2.365 million yuan, 246 yuan per capita. In 1994, the expenditure was 2.9 million yuan and the average per capita was 305 yuan. The main reason for the excessive growth of medical costs