“定点医院”是医疗服务和医保基金支出的最前沿。为此,很多统筹地区的医保管理部门都在医保定点医疗机构之间引入竞争机制,促使医疗机构自我管理,以提高医疗服务质量和降低医疗服务成本,控制医疗费用过快增长,保证医疗保险基金的收支平衡。但在县、乡(镇)两级基层定点医疗机构中,情况就不那么乐观了。抱着“皇帝女儿不愁嫁”的心态,县、乡(镇) “Spot hospital” is the forefront of spending on medical services and Medicare funds. To this end, many health insurance management departments in co-ordinating regions have introduced competition mechanisms between medical and designated medical institutions to promote self-management of medical institutions, in order to improve the quality of medical services and reduce the cost of medical services, to control the excessive growth of medical expenses, and to ensure that medical insurance funds The balance of payments. However, in the county, township (town) level grassroots fixed-point medical institutions, the situation is not so optimistic. Holding the attitude of “the emperor’s daughter is not married”, county, township (town)