在我国市场经济体制建立之初,医疗卫生改革虽取得了很大成就,但也存在一些现实问题。在国家经费补贴较少的中小医院,其生存和发展问题尤为突出。其原因在于,中小医院既无大医院的技术人才、设备条件等方面的硬件优势,又无大医院的名望,所以在市场竞争中处于劣势,许多中小医院面临门诊量下降,业务收入减少,医院生存发展难以为继的窘境。中小医院的出路何在?记者通过对广州越秀区第二医院的采访,试图找出其答案。沿着越秀区第二医院改革发展的轨迹,我们将看到一部中小医院顽强生存与奋力发展的历史——他们在改革与探索中创造了辉煌！ At the beginning of the establishment of China’s market economic system, although the medical and health reforms have made great achievements, there are also some practical problems. In the small and medium-sized hospitals with little state subsidies, the problems of survival and development are particularly acute. The reason is that small and medium-sized hospitals do not have the hardware advantages of technical personnel, equipment conditions, etc. of large hospitals, and have no reputation of large hospitals. Therefore, they are at a disadvantage in market competition. Many small and medium-sized hospitals face a decrease in the number of outpatients and a decrease in their business income. Survival and development are difficult to sustain. What is the way out for small and medium-sized hospitals? The reporter tried to find out the answer by interviewing the Second Hospital of Yuexiu District in Guangzhou. Along the path of the reform and development of the Second Hospital of Yuexiu District, we will see a history of tenacious survival and strenuous development of small and medium-sized hospitals - they have created brilliant achievements in reform and exploration!