从城镇职工基本医疗保险制度启动运行以来的实践看,最突出的一个问题就是异地就医人员难管理、异地就医环节难监督。所谓异地就医人员,是指参保人员退休后随子女居住在外地外省、市、县和因公出差、旅游等在外地因急诊、急救住院或转往异地上一级医院就医的人员。以苍溪县为例, From the practice of starting and running the basic medical insurance system for urban workers, one of the most prominent problems is that it is difficult to manage the medical staff in different places, and it is difficult to supervise the medical treatment in different places. The so-called off-site medical staff, refers to the insured after retirement with their children living in other provinces, cities and counties and on business travel, tourism and other emergency or first aid hospital or transferred to a higher level hospital for medical treatment. Take Cangxi County as an example,