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21世纪将是我国整个社会从小康走向富裕,跻身于世界经济强国之林的世纪。在这世纪之交,随着社会主义市场经济体制的建立,科学技术的突飞猛进,社会各个领域的巨大变革,给医院带来了前所未有的历史性挑战。如何适应新的形势,深化医院改革,探索大医院的发展思路,是摆在我们面前的一个十分重要的课题。 1 21世纪医院面临的挑战 我国卫生改革20年取得了令人瞩目的成绩,但与其它领域的改革相比,医院改革仍然比较滞后。当前,在这世纪之交,医院的发展进入一个关键时期,医院面临着“四大变革”的挑战。 1.1 医院的发展必须主动适应宏观经济体制的变革
The 21st century will be the century when the whole society of our country has moved from a well-to-do society to a prosperous state and has become a member of the world’s economically strong country. At the turn of the century, with the establishment of a socialist market economic system, rapid advances in science and technology, and tremendous changes in all areas of society have brought unprecedented historical challenges to hospitals. How to adapt to the new situation, deepen hospital reform, and explore the development thinking of large hospitals are a very important topic before us. 1 Challenges faced by hospitals in the 21st century China’s health reforms have achieved remarkable results in 20 years, but hospital reforms still lag behind those in other areas. At present, at the turn of this century, the hospital’s development has entered a critical period, and hospitals are facing the challenge of “four major changes.” 1.1 The development of the hospital must actively adapt to changes in the macroeconomic system