CAJ | 학술논문

目前，医院面临着不少问题：主要是医院在总体布局上按行政区划、隶属关系进行设计；医院搞大而全、小而全的各自配套建设；大医院承担着大量基层医院的任务，加剧了卫生资源的不平衡；另外，医院引进高新技术的同时，门诊和住院费用上涨过快，抑制了部分人的医疗需求。特别是医院间竞争将进一步加剧。为此，今后医院的发展：首先应明确职能定位，按区域规划进行发展；政府应采取关停并转迁方式重组卫生资源；医院自身搞好内部结构调整，真正落实院长负责制；发挥中层干部的能动性；建立科学用人选人机制；在分配上实行效率优先，兼顾公平；强化服务质量；做好合理收费。
목전，의원면림착불소문제：주요시의원재총체포국상안행정구화、대속관계진행설계；의원고대이전、소이전적각자배투건설；대의원승담착대량기층의원적임무，가극료위생자원적불평형；령외，의원인진고신기술적동시，문진화주원비용상창과쾌，억제료부분인적의료수구。특별시의원간경쟁장진일보가극。위차，금후의원적발전：수선응명학직능정위，안구역규화진행발전；정부응채취관정병전천방식중조위생자원；의원자신고호내부결구조정，진정락실원장부책제；발휘중층간부적능동성；건립과학용인선인궤제；재분배상실행효솔우선，겸고공평；강화복무질량；주호합리수비。
Hospitals are currently confronted with many problems, including distribution according to the division of administrative areas and jurisdiction; construction with complete sets of facilities on the part of all hospitals,big or small; and worsening of the unbalanced allocation of health resources due to the to assumption by big hospitals of many tasks of bssic-level hospitals. Besides, the excessively speedy incresse of expenses for outpatient and inpatient services as a result of hospitals' introduction of high technologies has inhibited some people's demands for medical services and competition among hospitals will become particularly fierce. Thus, ways out for hospitals lie in clarifion of their respective functions and development according to regional planning; regrouping of health resources by the government through measures of shutting down,stopping down, sopping production, merging, changing products or moving to other sites; structural readjustment and implementation of the system of responsibility by hospital directors within hospitals;bringing into play the initiatives of middle-level cadres; establishment of a scientific mechanism for personnel employmennt and selection; giving priority to efficiency and consideration to fairness in distribution; improvement of service quality; and making a good job of rational charging.