前几年,我市推行了一套国家包得过多、统得过死的经济管理体制和运行机制。由于管理制度不健全,责任不明确,大家同吃财政的大锅饭,形成了“病人吃药,医院供应,超支单位不管,财政拿钱”的局面,导致了公费医疗经费开支连年增加,1991年度人均医疗费用达到了274元,既增加了财政负担,也影响医院资金周转,与目前的国情、国力和社会生产力状况越来越不适应。为此, In the past few years, the city has implemented a set of economic management systems and operating mechanisms that have resulted in excessively over-inclusive and excessive deaths. Because the management system is not perfect and the responsibilities are not clear, everyone shares the fiscal pot-fight to form a situation in which “patients take medicines, hospital supplies, overpaying units, and finances to get money”. This has led to an increase in public expenditure on medical expenses year after year. The medical expenses reached 274 yuan, which not only increased the financial burden, but also affected the turnover of the hospital’s funds. It is increasingly incompatible with the current national conditions, national strength, and social productivity. to this end,