患者欠款是医疗机构中一个带有普遍性的问题。作者报导了河北省四所最大的综合医院的欠款情况,每年欠款数约占医院全年住院收入的0.5～5%。本文从医院管理、社会因素、欠费者的心理状态,农村医疗卫生保健体制等方面进行了分析讨论。对我们研讨和制定社会主义初级阶段的现行卫生政策,能得到一些有益的启示。 Patient arrears are a universal problem in medical institutions. The author reported on the arrears of the four largest general hospitals in Hebei Province. The annual arrears accounted for about 0.5 to 5% of the hospital’s annual hospitalization income. This article analyzes and discusses from the aspects of hospital management, social factors, psychological status of arrears, rural medical care and health care system. We can get some useful inspirations for us to discuss and formulate the current health policy in the primary stage of socialism.