随着预算管理制度改革的不断深化,浙江省财政厅从2016年起对“非在杭”省级预算单位全面推行国库集中支付改革,改革的实施对医院的内部控制和财务管理影响重大。文章分析了医院面临的难点与问题,并结合实际提出了预算编制、制度约束、政府采购、信息化建设和会计核算等方面的对策。 With the deepening reform of the budget management system, Zhejiang Provincial Department of Finance from 2016 onwards to the “non-Hangzhou” provincial budget units to implement the treasury centralized payment reform, the implementation of the reform of the hospital’s internal control and financial management significantly affected . The article analyzes the difficulties and problems faced by the hospital, and puts forward some countermeasures such as budget preparation, system restriction, government procurement, information construction and accounting accounting.