党的十三届四中全会提出的治理经济环境,整顿经济秩序的方针,为医疗卫生战线,整顿医疗秩序,进一步深化卫生改革指明了方向。但医院内部的分配不公问题,至今仍是医疗卫生单位的管理者最感棘手的、亟待解决的课题。据了解,某大医院二年内曾三易院内分配方案,目的是想尽量使奖金分配做到合理,减少矛盾,稳定大局,增强凝聚力,调动大多数人的工作积极性。然而,结果并不是很满意,研究奖金的会议开了不少,总的奖金基数未见减少,钱发出去不少,职工骂娘的局面,并未得到扭转,原因何在呢?笔者就此问题略谈些浅见,共同志们讨论。一、奖金分配中存在的主要问题目前,各级医院在奖金分配过程中, The principles set forth by the Fourth Plenary Session of the 13th CPC Central Committee in overseeing the economic environment and rectifying the economic order have pointed out the direction for the medical and health front, the rectification of the medical order, and the deepening of health reforms. However, the problem of unfair distribution within the hospital is still the most thorny and urgent task for managers of medical and health units. It is understood that a large hospital has allocated programs within the hospital within two years in order to make the distribution of bonuses as reasonable as possible, reduce conflicts, stabilize the overall situation, enhance cohesion, and mobilize the enthusiasm of most people. However, the results were not very satisfactory. The meeting for researching bonuses was opened a lot, the total bonus base was not reduced, the money was sent to a lot, and the situation of the staff was not reversed. What are the reasons? The author briefly discusses this issue. For some insights, the comrades discuss. First, the main problems in the distribution of bonuses At present, hospitals at all levels in the distribution of bonuses,