针对我国现行医疗机构存在医疗服务效率低下,医疗费用和服务成本过高等问题,卫生部张文康部长在年初工作报告中提出,要加大医疗机构内部管理和运行机制改革的力度,建立有责任、有激励、有约束、有竞争、有活力的运行机制。摆在我们面前的是如何推动这次改革深入的问题,笔者认为,要从抓人、财、物方面入手,推进相应的改革,完成这项重大的历史使命。 In response to the problems of low efficiency of medical services and excessive medical costs and service costs in the current medical institutions in China, Minister Zhang Wenkang of the Ministry of Health proposed to increase the strength of internal management and operating mechanism reform of medical institutions and establish responsibility for them. There are incentives, constraints, competition, and dynamic operating mechanisms. What we have before us is how to promote the in-depth problems of this reform. The author believes that we must start from the aspects of arresting people, finances, and materials, and promote corresponding reforms to complete this important historical mission.