近十几年来,我国职工医疗保健费用猛增:1980年仅为60亿元,1990年增至283.4亿元,1993年已高达460多亿元,年平均增长率高达17％,其中公费医疗支出增长了10多倍。国家财政已不堪重负,企事业单位叫苦不迭,有些职工因垫付巨额住院押金或医药费用长期难以报销,“日子”也不好过。至于个中原由固然很多,笔者在此拟从医疗服务供求关系入手,探讨适当地启动价格机制改革我国医疗保健制度的有关问题。 一、我国医疗服务供求过度的症结何在 In the past decade or so, the medical and health care costs of Chinese workers have skyrocketed: In 1980, it was only 6 billion yuan, and in 1990 it had increased to 28.34 billion yuan. In 1993, it was more than 460 billion yuan. The average annual growth rate was as high as 17%, of which public expenditure on medical expenses Increased by more than 10 times. The national finances have become overwhelmed. Enterprises and public companies have complained. Some employees have been difficult to reimburse for the long-term advance of huge hospital deposits or medical expenses. The “days” are not easy. As far as a number of Central Plains are concerned, the author intends to start with the relationship between the supply and demand of medical services and discuss issues related to the appropriate initiation of price mechanisms to reform China’s health care system. I. What is the crux of the supply and demand of medical services in China?