With the reform of the medicare and medical sanitation system, the purchaser market of medical market under planned economy has transformed into buyer market in the market economy.

　 Under the planned economy, the medical unit is mainly in charge of government, there is a little competition. The doctor and nurse focused on the diseases, not the patients, the rate of medical is the key 　 　
performance indication, and they can be recognized if they carried out their responsibility. While under the market economy, the patient can freely choose among the doctors, hospitals and medicines. The medical unit must build up the marketing and competitive conception, and reinforce the service consciousness.
　 There are two factors affecting the patient's choice on medical. One is effect, and the other one is cost in money, time, energy and reins. Usually, the patient is concerned about the first one, so the level of medical is the first factor in the competition.
　 1、 The level of therapy, following the principle of curing well。
　 2、 The level of sever, following the principle of curing 　 satisfactorily.
　 3、 The working efficiency, following the principle of curing swiftly.
　 4、 The consumption of medical, following the principle of curing cheaply.
　 5、 The society honor, following the principle of trust of patients.

　 Using the concepts about the commodity competitive in the market economy, we have five factors in the medical market: the curing competition, the serving competition, the effect competition, the price competition, the advertise competition. There are corresponding affects of each facto, forming a system net in the hospital market.

　□ There are some universal problems in the present hospitals

　 1）The idea problems: There are many doctors in the hospital who don't take the patients as a real man on the sense of mentality and society, which is why the medical serve is always the society's focusing point.
　 2） The elite problems: There are many elites going to private hospital. How to keep the elite is current mission.
　 3） The team problems: The hospital is a place where gathering intellectuals, so the team is easily formed, which affects the overall situation.
　 4） The market problems: How to set up selling ideas in all the members to let each member to feel the pressure of market, letting the employees to know the market is not just belonged to leader.
　 5） The medical dissension and accidents: That is the consensus's focus, how to let the employees to have high responsibility.

□ The aims of courses(what the training have brought to the hospitals)

　 1、The changes on the ideas: The training is an experiencing training, which is about mental training. In the training, the teacher let the students to change mental, according to the present state of hospital。
　 2、Combining the team, reinforcing the corporation, let the employees to know and trust each other during the training。
　 3、Help to propagandize the culture and value of hospitals: The teachers propagandize the hospitals' culture in the training process, letting the students to accept the culture actively and immediately.
　 4、Activating the personal potential: Activate the every member's potential during the training, letting the every one to know themselves' advantage and disadvantage.
　 5、The establishment of market ideas: Through the certain team market items training, the students form some market ideas and learn some certain market ways.
　 6、The third party's role: The training is playing mirror to the hospital management, the manager can find every member's real advantage and disadvantage to use elites more rationally.

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