近年来,医疗卫生单位差旅费开支猛增,公用经费紧缺,费用支出结构不合理,投入与费用不成比例,严重加剧了医院的经济负担。我市第三人民医院从1987年到1992年6年间差旅费开支累计为64万余元,占公务经费51％,最高的一年达25万余元,平均每年递增16.7％。1992年比1991年差旅费上升62％。经过长期探索,我院今年以来实施差旅费开支“总额控制,限额管理,动态平衡”的管理机制,有效地遏制了差旅费猛增的势头。其具体做法如下: In recent years, expenditures on travel expenses for medical and health units have soared, public funds have been in short supply, the structure of expenditures has been unreasonable, and inputs and expenses have been out of proportion, which has seriously aggravated the economic burden on hospitals. The total expenditure for travel expenses of the Third People’s Hospital of the city from 1987 to 1992 was 640,000 yuan, accounting for 51% of the official expenses, and the highest year reached 250,000 yuan, an average annual increase of 16.7%. Travel expenses increased by 62% in 1992 compared to 1991. After a long-term exploration, this year, the Institute has implemented the “total amount control, limit management, and dynamic balance” management system for travel expenses, effectively curbing the surge in travel expenses. The specific approach is as follows: