“总量控制,结构调整”是上海卫生系统深化改革的重大举措。其内涵是:既要控制医药费用的增长,克服卫生资源的浪费;又要调整医疗卫生费用的结构,体现卫生技术知识的价值,从而促进医院的管理和建设,推动医疗卫生事业的健康发展。本文拟就我院一年实践的基本概况进行效果分析,并提出 “Total control and structural adjustment” are major measures for the deepening of the reform of the Shanghai health system. Its connotation is: it is necessary to control the growth of medical expenses and overcome the waste of health resources; it is also necessary to adjust the structure of medical and health expenses to reflect the value of health and technical knowledge, so as to promote the management and construction of hospitals and promote the healthy development of medical and health services. This article intends to analyze the effect of the basic profile of one-year practice in our institute and propose