本文分析了高等院校公费医疗严重超支的原因及公费医疗制度改革的必要性。指出把高校医院由单一“服务型”变为“服务经营型”的保健医疗实体是高校医院改革的方向和途径。 This paper analyzes the reasons for the over-expenditure of public-funded medical services in universities and the necessity of the reform of the public-funded medical system. It points out that the transformation from a single “service type” to a “service management type” in a university hospital is the direction and approach of the hospital reform.