医疗保险制度的改革对医院既是挑战，也是契机。医院要适应医疗保险制度改革的新形势，就必须更新观念，转变机制，提高服务质量。１更新观念医院在传统的计划经济条件下是福利型事业单位，实行独家办、不核算、大锅饭政策。这种政策使医院内一潭死水，没有竞争，缺少压力... The reform of the medical insurance system is both a challenge and an opportunity for the hospital. In order to adapt to the new situation in the reform of the medical insurance system, hospitals must update their concepts, change mechanisms, and improve service quality. 1 Renewed Concepts Hospitals are welfare-oriented institutions under the traditional planned economy, and they implement exclusive management, non-accounting, and big pot policies. This kind of policy makes the hospital a stagnant water, there is no competition, lack of pressure...