四、综合利用行政手段和市场力量调控 医疗保险医疗服务供给水平 对于医疗费用的过快增长,作为消费者的患者虽然应当承担重要责任,但医疗消费毕竟具有特殊性,患者自主选择的余地大大低于其他生活消费领域。事实上,公费劳保医疗时期医疗费过快增长的主要原因,就在于医疗机构的行为偏差。医疗费用的增长有一定合理因素(如物价上涨等),对医院而言,也有某种迫不得已成份(如财政拨款不足),但对“过快”增长的责任还是不能推卸的。这种认识是构建医疗费用调控机制时的重要思想基础。 Fourth, the comprehensive utilization of administrative measures and market forces to regulate the level of medical insurance supply of medical services Excessive growth of medical costs, as consumers, although patients should bear an important responsibility, but after all medical spending has its own particularities, patients have much room for independent choice In other areas of consumer life. In fact, the main reason for the excessive growth of medical expenses during the period of public health insurance and medical care lies in the behavioral biases of medical institutions. There are some reasonable factors (such as rising prices) in the growth of medical expenses. For hospitals, there are some kinds of compelling ingredients (such as inadequate financial allocations), but the responsibility for “excessive growth” can not be shirked. This kind of understanding is the important ideological foundation when setting up medical expense control mechanism.