“走到今天,我们探索出一条倾斜一线医务人员的分配之路,让贡献大的医生获得了全社会艳羡的阳光收入,我们内心充满了成就感。”每位医院管理者、医务人员的心目中大概都有一幅理想中的医酬图景。这些图景或有差异,但也难逃共同特征:比如阳光提升、比如向临床一线倾斜、比如更倚重专业技能等。很难有人否定这不是医酬改革的方向。朝着这样的改革目标前进,作为医院管理者,落实用人自主权、破除“以药养医”、阳光化前提下提升临床一线人员收入,进而争取体制内包括 “Today, we have explored a distribution path that tilts front-line medical staff so that the big contributors receive the sunshine of envy of the whole society and we are full of sense of accomplishment.” “Every hospital manager, medical staff In the mind probably has an ideal doctor’s compensation picture. These pictures can be different, but they can not escape common features such as sunshine promotion, such as leaning to the clinical front, such as relying more on professional skills. It is hard for anyone to deny that this is not the direction of medical reform. Toward such a reform goal, as a hospital administrator, implement the autonomy of the employer, break the ”medicine to support the doctor" and enhance the income of the front-line personnel on the premise of sunshine so as to strive for the inclusion within the system