This paper studied the development of hospital of four municipalities of Beijing, Tianjin, Shanghai, Chongqing on 2005-2009. The four municipalities have completed the construction of medical service system, and the hospitals have development potential, and run well. However, they should strengthen the use of external funds, resource utilization and cost accounting, and control the costs. Chongqing's development potential and development model is good, its management is efficient. Chongqing's hospitals can effectively control the rate of drug and play good social and economic benefits.%研究2005-2009年北京、天津、上海、重庆四个直辖市医院的发展.总体四直辖市完成构建医疗服务体系,医院有发展潜力,运营良好,但应加强外部资金运用、资源利用、成本核算,控制成本支出.其中重庆发展后劲足模式好,管理高效有效控制药占比,社会效益与经济效益发挥良好.
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