医院的编制长期存在着总数过大，计划外用工日趋增多；学科间“缺编”与“超编”现象并存；年龄结构、技术结构不合理；机构膨胀，行政人员增长过速等，这些弊端阻碍了医院的建设与发展。解决医院编制管理中这些问题的基本思路是从实际出发，着眼未来，适应发展，精简高效。一是制定新的编制标准，重新核定编制数；二是建立多种约束机制；三是建立和完善合理的人才流动机制；四是精简职能机构，优化组合 The long-term existence of the hospital’s establishment is too large, and the number of unplanned workers has increased; inter-disciplines “abstract” and “overbooking” coexist; age structure and technical structure are unreasonable; institutions are inflated, and administrative staff grow too fast. The construction and development of the hospital. The basic idea for resolving these issues in hospital management is to proceed from reality, focus on the future, adapt to development, and streamline and highly efficient. One is to formulate new preparation standards and re-evaluate the number of preparations; the other is to establish a variety of restraint mechanisms; the third is to establish and improve a reasonable flow of talent; the fourth is to streamline functional organizations and optimize the combination