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单一的,僵化的卫生院经营机制,使不少卫生院无法实现保本经营,不能发挥应有的职能。这一状况使卫生院逐步从单纯管理型向经营管理型转化,以通过组织卫生资源,扩大卫生服务及获得医务劳动补偿等环节,收到合理的社会效益和经济效益。一、生产关系和生产力的矛盾,经营机制与所有制形式相背离,是卫生院经营机制必须改革的根源。目前,无论是全民或集体性质的卫生院,均沿用了一种管理模式,这就是资产由国家统一管理,人员由国家统一分配,工资水平由国家统一规定,收费标准由国家统一制定。从而导致了卫生院的建没由国家包,吃饭由国家包,亏损也由国家包的局面。这冲经营机制背离了卫生院集体所有制形式,反映了生产关系与生产力之间的矛盾。特别是农村经济结构和经营方
A single, rigid management mechanism for health centers has prevented many health centers from operating under capital preservation and cannot perform their due functions. This situation has enabled the hospital to gradually transform itself from a pure management model to a management model, and to receive reasonable social and economic benefits through the organization of health resources, expansion of health services, and access to medical labor compensation. First, the contradiction between the production relationship and the productivity, the deviation of the operating mechanism from the form of ownership, and the root cause of the reform of the operating mechanism of the hospital. At present, no matter whether it is a public or collective health center, a management model has been followed. This means that assets are managed by the state and personnel are uniformly distributed by the state. The level of wages is regulated by the state and the charging standards are formulated by the state. This has led to the establishment of hospitals in the country, including packages from the state, meals from countries, and losses from the state package. This redemption of the business mechanism deviated from the form of collective ownership of health centers, reflecting the contradiction between production relations and productivity. Especially rural economic structure and management