文章以 7所三级医院为研究对象 ,分析了上海市全面实施城镇职工基本医疗保险制度对医院所产生的初步影响 ,显示在放开医保定点医院引入竞争机制后 ,专科医院医疗工作量明显上升 ,较综合性医院有明显的市场竞争优势。分析也显示 ,在统帐结合的新医保政策下 ,三级医院医疗费用的增长主要是指门急诊费用的增长 ,提示必须进一步加强对个人帐户的管理 Taking seven tertiary hospitals as the research object, the article analyzes the initial impact of the implementation of the basic medical insurance system for urban workers on hospitals in Shanghai. It shows that the medical workload of specialized hospitals rises significantly after liberalizing the fixed-point hospitals and introducing competition mechanisms , Compared with a comprehensive hospital has obvious market competitive advantage. Analysis also shows that under the new policy of health insurance combined with unified account, the growth of medical expenses in tertiary hospitals mainly refers to the increase of outpatient and emergency medical services fees, suggesting that the management of individual accounts must be further strengthened