在医疗保健制度改革中，各地都实施了个人承担部分医疗费的办法。实施中发现自付比例太小，起不到有效遏制医药费过度增长的作用，自付比例过大，又会造成职工负担过重。本文通过对杭州市公费医疗对象的调查和分析，试图为科学地确定公费医疗自付比例提供依据。调查材料与方法 In the reform of the health care system, local governments have implemented methods for individuals to bear some medical expenses. The implementation found that the proportion of self-payment was too small to effectively curb the excessive increase in medical expenses, and the proportion of self-payment was too large, which would cause the employees to be overburdened. This article attempts to provide a basis for the scientific determination of the proportion of publicly funded medical care payouts through the investigation and analysis of publicly funded medical objects in Hangzhou. Survey Materials and Methods