一、职工饭堂和病人营养饭堂的改革。职工饭堂和病人营养饭堂是医院保障系统的一个组成部分.膳食办得好坏,直接影响医、教、研各项工作的正常运转和职工的工作积极性。过去几十年来沿袭着福利型饭堂管理体制,“大锅饭”,赔本服务。改革开放后,虽然实行成本核算与医院补贴相结合,强调增收节支,扩大服务范围的目标管理责任制,打破过去单一、呆板的局面,收到一定效果。但是,两个饭堂每年我院还要补贴30多万元,而且,伙食难搞,膳食管理工作难做,仍是医院饭堂存在的“老大难”问题。1993年按照市场经济要求,两 First, the reform of the staff canteens and patient nutrition canteens. Staff canteens and patient nutrition canteens are an integral part of the hospital security system. Meals are good or bad, which directly affects the normal operation of medical, teaching, and research work and the work enthusiasm of employees. In the past decades, the welfare canteen management system has been followed, and “big pot rice” has been used as a cost-loss service. After the reform and opening up, although the combination of cost accounting and hospital subsidies has been implemented, emphasis has been placed on increasing revenues and reducing expenditures, and the target management responsibility system for expanding service scope has broken through the single and rigid situation in the past, and has received certain results. However, the two canteens also need to subsidize more than 300,000 yuan per year in our hospital. Moreover, it is difficult to engage in food and difficult to do dietary management. It is still a problem that exists in hospital canteens. In accordance with the requirements of the market economy in 1993, two