自1996年5月开始实施的上海市城镇居民医疗保险工作运行两年多的实践证明，医保工作无论是在维护社会稳定，保障职工健康，还是在合理引导卫生事业的发展，有效利用卫生资源方面都取得了一定的成绩。随着医保改革的不断深入，医院之间的竞争日趋激烈，如何协调医保与总量控制之 The practice of the medical insurance for urban residents in Shanghai since May 1996 has been running for more than two years. It has been proved that the medical insurance work maintains social stability, protects the health of employees, or guides the development of health services, and effectively uses health resources. Have achieved certain results. With the continuous deepening of medical insurance reform, the competition between hospitals has become increasingly fierce, and how to harmonize medical insurance with total control