文章介绍了潍坊市普及基本医疗卫生制度实验研究支付方式改革的实践及经验。实验研究针对不同的卫生服务内容及其经济学特性,进行了相关的支付方式改革探索:门诊服务由按服务项目支付转变为政府按人头支付和按诊次支付;大病及住院服务则进行了单病种的按人头付费和总额预付制的探索;公共卫生服务则由政府以“购买服务”的形式实行按人头支付。 This article introduces the practice and experience of the Weifang popularization of basic medical and health system experimental research on payment method reform. Experimental Research Based on the different health services and their economic characteristics, relevant payment methods were explored: outpatient service was changed from service payment to government payroll and pay-by-visit payment; while serious illness and hospitalization services were carried out in single The exploration of payment by illness and prepayment of total amount of diseases, while public health services are paid on a first-come-first-served basis by the government in the form of “purchase of services”.