一、医院需在市场经济大环境中生存发展医院存在于市场经济大环境之中,其运行机制必然受市场大环境的制约。在计划经济体制下,实行划区医疗,病人选择医院就诊的可能性一般说是很小的。那时医院很少或根本不考虑病人多方面的需要,也不必考虑病人来源的多少,所需经费的差额由国家财政补贴。改革开放以来,我国医疗市场发生了根本性的变化,但医院因旧体制的影响,其变革滞后于市场大环境的变化。许多医院在变化了的市场环境面前不知所措,虽倍加努力却不能扭转医院亏损的被动局面,其主要原因是运行机制不能适应市场经济。在社会主义市场经济条件下,医院改革的方向 First, the hospital needs to survive and develop in the market economy environment. The hospital exists in the market economy environment. Its operating mechanism must be constrained by the market environment. Under the planned economic system, the implementation of zoned medical care is generally considered to be a small possibility for patients to choose a hospital for treatment. At that time, the hospital had little or no consideration of the patient’s various needs, nor did it have to consider the source of the patient. The difference in the required funding was subsidized by the state’s finances. Since the reform and opening up, China’s medical market has undergone fundamental changes, but due to the influence of the old system, hospitals have lags behind changes in the market environment. Many hospitals are overwhelmed by the changed market environment. Although they are unable to reverse the passive situation of the hospital’s loss, they are mainly due to the fact that the operating mechanism cannot adapt to the market economy. Under the conditions of the socialist market economy, the direction of hospital reform