“总量控制、结构调整”政策实施近４年，取得了很好的成效。表现在：首先，政府方面，一定程度上解决了卫生系统的补偿问题，促使卫生资源合理利用，相应地减轻了政府财政的压力；另外，由于费用的控制亦有利于与医疗保障制度改革相衔接。其次是医疗机构，使医务人员的劳务价值得以体现，同时也促使医院加强内部管理，使广大人民群众得到了实惠。再次是给企业减轻了经济负担。当然，这个政策在获益的同时，也存在些问题。从政府方面而言，财政投入相对萎缩未得到解决，物价体系亦未建立相应的定价机制等。而医疗机构方面存在诱导需求等问题，淡化了政策的效果，加剧了新的分配不公。再者，从更深层的角度来讲，何为医疗费用的合理增长的问题尚待进一步研究。 The “Total Quantity Control and Structural Adjustment” policy has been implemented for nearly 4 years and has achieved very good results. In the first place, the government has, to a certain extent, solved the problem of compensation in the health system, promoted the rational use of health resources, and correspondingly reduced the pressure on the government’s finances; in addition, the control of costs also facilitates convergence with the reform of the medical security system. . Followed by medical institutions, the medical personnel’s labor value can be reflected. At the same time, it also encourages the hospital to strengthen internal management, so that the majority of the people receive benefits. Again, it has reduced the economic burden on the company. Of course, there are also problems with this policy while benefiting. From the perspective of the government, the relative shrinkage of financial investment has not been resolved, and the pricing system has not established a corresponding pricing mechanism. However, problems such as induced demand in medical institutions have weakened the effectiveness of the policy and exacerbated the new unfair distribution. Furthermore, from a deeper perspective, the question of what constitutes a reasonable increase in medical expenses remains to be further studied.