Analyzed in the paper is the current subsidy mechanism for public hospitals in Zhejiang province, with analysis of problems found. The authors recommended to build a mass fraction subsidy mechanism to cover up the insufficiency of government financial subsidy; to fully leverage the price compensation of medical services; to subsidize in view of the functional positioning of various medical institutions;and explore more channels for public hospitals′subsidies.

Success of Sanming's heahhcare reform relies heavily on the government's dominant role.Based on this inspiration,the paper discussed the responsibilities expected of the government in health protection of the people as required by national strategy,public interests and market demands,and presented the corresponding responsibilities of the government in the protection,leadership,scrutiny and management for the sake of public health.In addition the paper recommended on policies to make up for the absence and dislocation of governmental responsibilities,including all-out efforts for legislations in health protection,greater government subsidy for health protection,development of a comprehensive supervision system,and establishment of entities accountable for people's health in general.

There are some issues with the payment mechanism in the hospital at present.For instant, lacking of the government subsidy,collecting money depending on drug and the price is unreasonable.All of these issues restrict the development of health care system,and influence the health care delivery and the cost control.The article suggests the following working must be well done:to strengthen the regionol plan- ning in order to prefer the rural area;defining the accountability.of the government for health care;dividing treatment and selling drug into two groups;reforming the price of health care service.

The work of hospital management and evaluation began in 1991 in Shangtung.Up till 1995,the first phase has basically ended.From the three years of hospital evaluation,we find the prob- lems of superficial understanding of evaluation rules,hasty preparation of materials,etc.To solve the- seproblems,relevant documents must be well studied and hurried work avoided.Key points must be grasped with the guiding principle kept in mind.Defunct ideas must be scrapped with new ideas put into practice.A scientific evaluation is to render the evaluation conclusions authoritative and viable.Super- vision must be tightened.The point for evaluation is quality to.solve the problems of quality control and the monitoring of case history and illness specification.

Current problems of medical quality control are examined.It is pointed out that normal medical routine must be maintained to lay a good foundation for the carrying out of medical quality con- trol.Rules and regulations must be strictly observed with no efforts spared to raise the quality of basic medical work.Drug rules must be observed to guarantee the safety of drug use.The control of blood and blood products must be strengthened to guarantee the safety of blood use.The administration and control of nosocomial infections must be tightended.The introduction and control of high tech and the training of specialists must be expedited to insure the therapeutic effect and medical safety.

The practicability for local hospitals to take part in bidding for research contracts is re- viewed.Four favorable conditions are pointed out.The administrative process for research contract bid- ding is divided into two aspects:one is the organization and coordination in the course of contract bid- ding;the other is the eight requirements for filling up tenders brought forth from the viewpoint of ad- ministrators.

The surveillance of nocomial infections is reviewed.The success and failure of the sur- veys that have been carried out in our country up to the present are summed up.Many effective im- orovement measures to solve existing problems and relevant control policies are out forward.

A summary is made on a11 the experiences from five attached general hospitals which carried out Shanghai new policy of Work rescheduling and organization restracturing.The external pressure and internal motive of the change from"compulsory rescheduling"to"voluntary rescheduling" are analyzed.A search for the distribution of the points for attack on the problem of hospital control of medical cost is made.A comparative study is conducted on the relationship between time and the inten- sity of the control,the inner relationship between the independent variables and the intensity of control. The conclusion shows the change of the hospital's control role to the voluntary one has something to do with the equalibrium of relative forces.The point for breakthrough lies at the control of drugs.A search for the points for attack on the problem of hospital control of medical cost is not only necessary for arresting the rocketing of medical cost,but also helpful for capturing the confidence of the concerned and strengthening hospital management,thus laying a good foundation for a stable transition to a new healthcare insurance program.

To promote the normalization,standardization and systematization of hospital infection control,the Coordination and Advisory Group for Hospital Infection Control of the province carried out an investigation in thirty-five 2nd grade hospitals of fourteen prefectures and cities in regard to the orga- nization and management of hospital infection control,necessary infection monitoring and sterilization devices against highly infectious areas through questionaires,medical theory tests and on-the-spot inves- tigations.Analysis is also made of the present conditions and pending problems in the field of infection control of the 2nd grade hospitals in the province.Relevant solutions are suggested.

The army hospital is an important component of the national health resource and its par- ticipation in the reform of the civilian health program is a big step to strengthen the construction of the army Hospital,an action to prevent the army from wasting limited health resource,a measure to ease the pressure put by local governments on civilian health service.The health service rendered by the army is a tie to keep the army in close contact with the people.Therefore,the social service done by the army hospi- tal has an exceptional significance beyond the ordinary sense of medical service.Its participation in the re- form of the civilian health program is of positive meaning in raising its capability either in time of peace or in time of war.The army hospital has technical advantages,tt has a good name both in its service attitude and medical morality.It tends to lower the medical cost through the improvement of administration.All those mentioned above are important conditions for its participation in the reform of the civilian health program.