一、医院实行承包制所取得的成效和出现的问题据有关统计资料表明,近两年来我国有50%以上的医疗卫生单位推行了不同形式的承包制。通过推行承包制,强化了院长负责制和目标管理责任制,初步打破了“大锅饭、不核算”等弊端,增强了医疗卫生单位的活力,调动了广大医务人贝的工作积极性。与此同时,也出现了不少问题,遇到了新的困难和矛盾,主要表现为: I. Achievements and problems arising from the implementation of the contracting system in hospitals According to relevant statistical data, over 50% of medical and health units in China have implemented different types of contracting systems in the past two years. Through the implementation of the contracting system, the responsibility system for the dean and the target management responsibility system have been strengthened, and the drawbacks such as “big pots and no accounting” have been initially broken, the vitality of medical and health units has been enhanced, and the enthusiasm of the majority of medical personnel has been mobilized. At the same time, there have been many problems and new difficulties and conflicts have been encountered. The main manifestations are: