企事业单位医疗经费管理改革的调查分析

Reform of Medical Funds Management for Staff and Workesrs

通过对安徽省白湖造纸厂医疗经费管理改革的调查分析,结果显示:(1)医疗经费管理改革前,全体人员实行免费医疗的1988、1989年,医疗费超支分别为27.82％和42.85％。(2)实行比例分担医疗费后的1994、1995年其费用超支分别为19.17％和18.16％。(3)医疗经费管理改革后,年人均自付64.07元,自付占人均医疗费用18.61％,自付占人均收入1.28％。提出企事业单位职工在支付能力范围内,适当调整国家、单位、个人医疗费分担比例,可增强职工就诊时的费用意识,减少浪费,节约开支等建议。

The reformation of free medical service system into a system of health service fees being shared out to the state, the work unit, and the employee respectively improves the management, use and benefits of medical funds, as shown by the example of Baihu paper mill where the overspending of medical funds decreased from 27. 82% and 42. 85% in pre -reform years 1988 and 1989 to 19. 17% and 18. 16% in post -reform years 1994 and 1995, and the yearly per - capita self-paid medical expense after reform was 64. 07 yuan, making up 18. 61% of per -capita medical expense or just 1. 28% of yearly per-capita income.