四川省城镇医药卫生体制改革启动以来,国有医院在结构调整、分类管理、药品集中招标采购、运行机制改革等方面已取得了积极进展。但是,目前国有医院改革和发展的体制性、结构性问题仍然突出,对此,我们对国有医院改革和发展问题进行了调研,提出了一些看法和建议。一、四川省国有 Since the start of reform of the urban medicine and health system in Sichuan Province, state-owned hospitals have made positive progress in structural adjustment, classification management, centralized bidding and procurement of drugs, and operational mechanism reforms. However, the institutional and structural problems in the reform and development of state-owned hospitals are still outstanding. In this regard, we conducted investigations and studies on the reform and development of state-owned hospitals and put forward some opinions and suggestions. I. Sichuan State-owned