基本情况长期以来,“独家办、‘大锅饭’、不核算”的旧体制,严重束缚了卫生事业的发展,影响了医护人员的积极性和创造性的发挥,看病难、住院难矛盾突出。解决这些问题的根本出路在于改革。经过几年的探索,1988年江苏省无锡市加快了卫生改革的步伐。改革的主要内容是: 改革医院的领导体制,明确规定了院长、党委和职代会的权利和职责等,使党、政、工三者关系比较协调。在实行院长负责制的同时,试行了院长任期目标责任制。去年会市已有12个医疗单位的院长、党委书记和工会主席组成承包集 Basic situation For a long time, the old system of “exclusive office, ’big pot’, and no accounting” severely constrained the development of the health industry, affected the enthusiasm and creativity of medical staff, and made it difficult to see a doctor and make hospitalization difficult. The fundamental solution to these problems lies in reform. After several years of exploration, Wuxi, Jiangsu Province in 1988 accelerated the pace of health reform. The main contents of the reform are: Reforming the hospital’s leadership system, clearly stipulating the rights and responsibilities of the president, party committees, and workers’ representatives conferences, so that the relationship between the party, the government, and the workers can be relatively coordinated. At the same time as the implementation of the president’s accountability system, the Dean’s term responsibility system was tried out. The president, party committee secretary, and labor union chairman of the 12 medical institutions in the city last year formed a contract set.