当前,劳保医疗及公费医疗的管理制度缺乏科学的制约机制,享受单位放弃管理,享受个人只重视满足其需要,缺少参与和节约意识,致使单位医药费超支严重,浪费惊人。在改革、开放深入发展的今天,改革这种由国家或企业全包下来的医疗保健制度已势在必行。全国各地职工医疗制度改革的内容和方法大同小异,其具体做法多为:(1)规定职工个人医药费定额;(2)定额内医药费用全部报销,超定额医药费用分年龄组,按不同比例,大部分报销,小部分职工自 At present, the labor insurance medical and public medical management system lacks a scientific restriction mechanism, enjoys the unit to abandon management, enjoy the individual only pay attention to its needs, lack of participation and awareness of conservation, resulting in the unit overdue medical expenses, and a staggering waste. Today, with the reform and open development, it is imperative to reform the medical and health care system, which is fully packaged by the state or the enterprise. The contents and methods of staff medical system reform throughout the country are quite similar. The specific methods are as follows: (1) stipulate the personal medical expenses of staff and workers; (2) reimburse the medical expenses within the fixed amount; the over-quota medical expenses are divided into age groups according to different proportions. Most of the reimbursement, a small number of employees