这些年来,医院改革取得了显著成果,使医院增加了活力,但是,困扰医院发展的矛盾和问题仍然很多。这中间主要问题是卫生投入严重不足。卫生部门使尽了浑身解数想说清卫生事业的公益性福利性质,但由于过去传统计划模式的影响,在医疗收费上受市场经济增长过快影响难以被人接受;患者看病费用较高和心理上的负荷,掩盖了许多医疗服务项目低于成本收费的事实;卫生经费投入绝对数的增长又掩盖了财政投入相对比例逐年下降的事实。在这种“内外交困”的情况下,医院要发展,政府 In recent years, remarkable achievements have been made in hospital reform, which has made the hospital more viable. However, there are still many contradictions and problems plaguing the hospital. The main problem in this middle is the serious shortage of health investment. However, due to the impact of the traditional planning model in the past, it is hard to be accepted by the rapid growth of the market economy in the medical charges because of the past public welfare programs. The patient care costs are high and the psychology The burden on many health-care services obscures the fact that many health-care services are below cost-cutting charges; the fact that the absolute increase in health spending has overshadowed the declining share of fiscal spending. In this “internal and external pay ” situation, the hospital to develop the government