本文对云南省曲靖市自１９９７年医改方案试运行以来的基本情况；基本做法：即建立社会统筹基金与个人医疗帐户、职工的就诊方式及医疗费支付程序、定点医院的管理方式、医保结算中心的管理方式；现行方案的弊端：即手续繁锁、门诊处方限量、门诊人次上升、企业资金到位率低等问题进行了探讨。并对继续完善医保工作提出了建设性意见 This article is about the basic situation of the Qujing City of Yunnan Province since the trial run of the medical reform program in 1997; the basic approach: the establishment of social pooling funds and personal medical accounts, staff visits and medical expenses payment procedures, management methods of designated hospitals, and Medicare settlement centers The management methods; The current program drawbacks: that is, procedures are complicated, outpatient prescription limits, outpatient visits rose, the company’s funds to the low rate of other issues are discussed. And put forward constructive suggestions for continuing to improve health care work