随着经济体制改革的深入和社会主义商品经济发展的新形势,医院引进了经营竞争机制,实行了承包经营责任制。但是,对医院的这一改革,议论纷云,褒贬不一。为此,笔者就承包经营责任制谈点初浅认识。一、医院承包经营责任制是深化医院改革的必然发展趋势长期以来,由于旧的思想观念的束缚,把医院只看作社会主义福利性质的慈善机构,只讲服务,不讲球营;只讲社会效益,不讲经济效益。导致医院不计成本,不讲核算,处于服务供给型的封闭状态。加上国家财力紧缺,卫生经费投入有限,使多数医院 With the deepening of the reform of the economic system and the new situation of the development of the socialist commodity economy, the hospital has introduced the operating competition mechanism and implemented the contract responsibility system. However, there have been many discussions about the reform of hospitals and they have been mixed. For this reason, the author first discusses the beginning of the contract responsibility system. 1. The responsibility system for hospital contracted management is an inevitable trend for deepening hospital reform. For a long time, due to the shackles of the old ideas, the hospital was viewed as a socialist welfare charity. It only talked about services and did not talk about the camp; Social benefits are not economical. Causes hospitals to ignore costs, not accounting, and in a closed state of service provision. With the shortage of financial resources in the country, limited investment in health funds, making most hospitals