一、“统筹”的原因目前,我国厂、矿企业职工医院的经费来源于所属企业。这种“僵化”的管理模式已不适应当前改革、开放的新形势。其弊端是:医院的发展受企业经济效益的制约,盈利企业医院有充足的经费补偿,具有生机活力,能够保证职工就医;而亏损企业医院因缺乏资金来源,难以维持正常业务,职工医疗保健无法保障。随着经济体制改革的深化,我国企业已出现盈利发展与亏损倒闭的“两极分化”。可是这种管理模式,不仅不适应企业职工医疗保健的实际需要,而且能导致盈、亏企业职工之 I. Reasons for “co-ordination” At present, the funds for the staff hospitals of factories and mines in China are derived from their respective companies. This “rigid” management model is no longer suited to the new situation of reform and opening up. The disadvantages are: the development of the hospital is restricted by the economic benefits of the company. The profitable hospitals have sufficient funds for compensation and have the vitality to ensure the employees to seek medical treatment. The loss-making hospitals are unable to maintain normal business because of the lack of funding sources, and the medical care of employees cannot Protection. With the deepening of the reform of the economic system, Chinese enterprises have seen “polarization” of profitable development and loss closure. However, this kind of management model not only fails to meet the actual needs of employees’ medical care, but also leads to the