河北省鸡泽县从1987年下半年开始,将医疗费用以保险金形式缴纳到承保医院,实行医疗保险制,收到明显效果,为公费医疗制度改革探出一条新路。公费医疗存在的问题鸡泽县经济基础比较薄弱,县财力极为紧张,而公费医疗费用支出逐年剧增,使财政难以负担。据统计,实施保险制前的1986年,全县公费医疗经费支出 From the second half of 1987, Ji Ze County in Hebei Province paid medical expenses in the form of insurance premiums to the insured hospitals. The implementation of the medical insurance system has received noticeable results, and has embarked on a new path for the reform of the publicly funded medical system. The problems existing in publicly-funded medical The economic base of Jierze County is relatively weak, and the county’s financial resources are extremely tight. However, public expenditure on medical expenses has been increasing year by year, making it difficult to finance. According to statistics, in 1986 before the implementation of the insurance system, the county’s public medical expenses