我院作为卫生部属大型综合性医院，根据自己的实际，在医疗机构改革，特别是内部运行机制改革方面迈开了一步。在此，我们作一简要回顾。一、做法与成效（一）人事制度改革：我院的人事制度改革是从１９９４年实行全员聘任制开始的，通过全员聘用，实行奖勤罚懒，优胜劣汰，对 As a large-scale comprehensive hospital of the Ministry of Health, our institute has taken a step forward in the reform of medical institutions, especially the internal operational mechanism, according to our own reality. Here, we make a brief review. I. Practice and effectiveness (1) Reform of the personnel system: The reform of the personnel system in our institute began with the implementation of the full-time appointment system in 1994. Through full-staff hiring, implementation of rewards and fines, survival of the fittest, and