一、面临的问题 (一)自身的问题 1、由于历史的原因,区属医疗机构普遍存在结构不合理的问题。主要表现在人员结构方面,即非卫生技术人员过多、人员老化及退休人员比例过大。 2、观念落后,仍坚持传统的行医模式,主动适应市场竞争的意识不强,有的甚至消极地等待主管部门的调整。 3、缺乏学科带头人,开展新技术、新项目的能力不强,使医疗服务很难随群众的需要及时的更新换代。 (二)外部问题 1、医院之间的竞争加剧。实施医改后, First, the problems faced (A) their own problems 1, due to historical reasons, the district medical institutions are generally irrational structure. Mainly in the personnel structure, that is, non-medical technicians too much, aging and retired staff too much. 2, backward concepts, still adhere to the traditional model of practice, take the initiative to adapt to market competition, awareness is not strong, and some even wait for the regulatory authorities to adjust negatively. 3, lack of academic leaders, to develop new technologies, new projects is not strong, so that medical services is difficult to timely update with the needs of the masses. (B) of the external issues 1, the competition between hospitals intensified. After the implementation of medical reform,