There are the following problems in the total payment of the county medical insurance fund: 1. Uneven cost sharing: The total payment model of the county medical insurance fund is to allocate the total budget of the medical insurance fund to each county according to a set ratio.

There is a problem of uneven cost sharing among different medical institutions.

Some medical institutions will receive more medical insurance funds due to reasons such as size and capacity, while other medical institutions may receive less medical insurance funds due to various reasons, which may affect the operation and operation of medical institutions.

service quality.

2. Impact on diagnosis and treatment behavior: The total payment model of the county medical hospital’s collective medical insurance fund may affect the doctor’s diagnosis and treatment behavior.

Since doctors' income is related to the use of medical insurance funds, doctors may be more inclined to choose some high-priced medical services and ignore some relatively low-priced medical services, which may lead to a waste of medical resources and irrational medical behaviors.