医疗卫生单位工作辛苦,待遇偏低,设备更新周期过长等等,已成为普遍问题.究其原因,最重要的是经费不足.由于多年来医疗单位一直吃国家财政的“大锅饭”,维持正常运转所需的经费来源全部或大部分依靠上级拨款,加之医疗卫生行业的改革进程滞后,多渠道创收和多元化筹措经费的格局尚未形成,所以导致经费的需要与可供给之间矛盾日趋加深,大多数单位的上级拨款仅能勉强维持人员经费的开支,更有甚者连“吃饭”钱都难以保障,更谈不上组织开展科研技改、更 It is a common problem that medical and health units have to work hard, receive low treatment, and have too long equipment refresh cycles. The reason for this is that the most important thing is the lack of funds. As the medical units have been eating the “big pots” of the state finance for many years, they have remained normal. The funding sources needed for operations are all or mostly dependent on higher-level funding, and the reform process of the medical and health industry is lagging behind. The pattern of multi-channel income generation and diversified financing has not yet been formed, and thus the contradiction between funding needs and availability is increasing. Most senior-level appropriations can barely maintain personnel expenditures. Even the “meal” money cannot be guaranteed, let alone organize scientific research and technological reforms.