当前我国城市大型医疗机构的集团化发展是一个不可阻挡的趋势[1 4 ] 。在其发展过程中 ,借鉴和学习国外的医院集团运作方法 ,正确运用到卫生改革的实践中是医院管理者研究的重要课题。作者结合中国卫生经济网络“旗舰”培训计划所采用的英国伦敦Ｓｍｉｔｈ医院托拉斯 (下文中称 At present, the development of large-scale medical institutions in China is an irresistible trend[1 4]. In the process of its development, it is an important topic for hospital administrators to learn from and learn from the operating methods of foreign hospital groups and apply them correctly to the practice of health reform. The author combines the trust of the Smith Hospital Hospital in London, United Kingdom, as part of the “flagship” training program of the Chinese Health Economic Network (hereinafter referred to as