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一、影响因素１、政策因素。长期以来，国家把医疗事业当作福利事业看待。在投入上采取全包的政策，致使国家的包袱越背越大。８０年代以来，国家为了减轻负担，采取差额补助并要求医院搞好经营。在这种政策引导下，医院只好被迫通过“堤内损失堤外补”的办法解决医院补偿不足
I. Influencing factors 1. Policy factors. For a long time, the country regards medical services as a welfare business. The adoption of an all-inclusive policy on investment has led to an increase in the country’s burden. Since the 1980s, in order to reduce the burden, the state has adopted a difference allowance and requested the hospital to do a good job. Under this policy, the hospitals had to be forced to solve the problem of inadequate hospital compensation through the “division of embankments in the embankment”.