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随着城市经济体制改革的不断深入,杭州市不少企事业单位本着增收节支的原则,实行了职工医疗保健费用包干。小医院由于多种因素,总体医疗水平大多无法与大医院竞争,而有的小医院又往往采取“杀鸡取蛋”的做法,开人情方,医药费用大,致使许多单位纷纷与小医院脱离特约关系,病人也不惜费时费力,舍近去远到大医院就诊。全市医疗卫生事业冲破了原先实行的三级医疗体系,出现了大医院忙得“吃不了”,小医院却空得“吃不饱”的状况。杭州市区属卫生院多为集体所有制,职工工资上级拨款仅占50％。职工的奖金及福利支出等也需依赖单位业务收入来支付。不少小医院医疗业务清淡,经济状况严峻。因
With the continuous deepening of the reform of the urban economic system, many enterprises and institutions in Hangzhou implemented the principle of increasing income and reducing expenditures. Because of many factors, small hospitals are generally unable to compete with major hospitals for their overall medical standards. In addition, some small hospitals often adopt the “killing chickens and eggs” approach, opening up human emotions and high medical costs, resulting in many units escaping from small hospitals. Special relations, the patient does not hesitate to spend time and effort, close to go to a large hospital. The city’s medical and health services broke through the previously implemented three-tiered medical system, and the emergence of large hospitals was so busy that they couldn’t eat, and the small hospitals were so empty that they couldn’t eat enough. Most of Hangzhou’s urban district health centers are collectively owned, and only 50% of employees’ wages are paid by superiors. Staff bonuses and welfare expenses also need to rely on unit business income to pay. Many small hospitals have a light medical service and their economic conditions are severe. because