加强医院病种管理既能保证医疗质量 ,又能控制医疗费用。苏州市 1997年 4月 - 1998年 3月 ,实行的“三段通道式”医疗保险 ,迈出了我市医药卫生改革的第一步。本文对当时三家三级定点医院 5种疾病进行调查分析 ,并就采取合理有效控制费用的措施作了初步探讨 ,以期为我市医改的? Strengthening hospital disease management can not only ensure medical quality, but also control medical expenses. From April 1997 to March 1998 in Suzhou, the “Three-Channel Passage” medical insurance system was adopted, which took the first step in the city’s reform of the medical and health system. In this paper, the investigation and analysis of five diseases in three tertiary fixed-point hospitals at the time were conducted, and a preliminary discussion was made on the measures for reasonable and effective control of costs so as to provide for the medical reform in our city.