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卫生改革同整个经济体制改革一样，是以提高人们物质利益为目的，运用经济杠杆来突破产品经营形成的，行政指令型的封闭体制和“精神万能”的动力机制的。从管理形式看：从经济管理的“四六分成”—→承包责任制的“个人得小头”—→租赁经营的风险收入；从经费来源看：由单纯财政拨款—→，以财政拨款为主加业务收入、有偿服务收入、三产业收入和集资等多路进财；从个人奖金来看：由每月5元到每年4.5个月工资，再加隐性收入。据我区统计，医疗单位个人奖金由1984年17万到1988年的172万元。
Similar to the entire economic system reform, health reform is aimed at improving people’s material interests, using economic levers to break through the formation of product management, the administrative directive-type closed system, and the “spiritual universal” power mechanism. Judging from the form of management: from the “four-six divisions” of economic management to “personal success” of the contract responsibility system—→the risk income from leasing operations; from the perspective of funding sources: from pure financial appropriations—→, with financial appropriations as The main plus business income, paid service income, tri-industry income, and fund-raising are multi-channel financing; from the personal bonus point of view: from 5 yuan per month to 4.5 months per year, plus hidden income. According to statistics from our district, personal bonuses for medical institutions ranged from 170,000 in 1984 to 1.72 million in 1988.