Japan's economic system is a market-based "government-oriented market economy", the implementation of the principle of private property, contractualization and risk-sharing, the government to carry out effective macro-control, and give full play to the leadership of civil society, and the implementation of lifelong employment, lifelong education, employee participation, the annual merit list and the promotion of entrepreneurial spirit and other incentives. These principles and mechanisms have been applied to hospital management. The hospital leadership system consists of a hospital director, a medical director, a minister of affairs, and a minister of nursing under the leadership of the president and vice-president. There is also a management system with seven ministers under the leadership of the president: the minister of medical treatment, the assistant medical minister, the minister of affairs, the minister of nursing, the minister of research, the minister of pharmacy, and the minister of nutrition. The director must be a physician, in addition to engaging in this profession, preside over the overall work of the hospital, decide on the general policy of the hospital, master the direction of hospital development; vice president should also be served by the experts, to assist the director of the work or concurrently serve as the minister of diagnosis and treatment, in the business of the authority, the burden of medical care, teaching, scientific research, the Department of Diagnosis and Treatment under the establishment of a number of diagnosis and treatment section; the minister of the actual organization of hospitals, also known as the minister of operations, fully responsible for the hospital Day-to-day management personnel, generally selected from all levels of health administration and leadership institutions, can also be selected from the hospital, the Ministry of Affairs set up a number of services under the Department of Nursing; Minister of Nursing is responsible for the entire hospital nursing work, the Minister of Nursing - section chief nurse - nurses - nurses-to-be (also known as preparatory nurses) Nurse aides form their own chain of command, vertical leadership, their duties as a physician's assistant, patient life care, specialized technical care, ward management four major functions, the full implementation of hierarchical segmented nursing system (PPC); large and medium-sized general hospitals are generally attached to the nursing school (junior high school graduation for 2-3 years, and then by the junior college for 2 years, and after graduation by the national examination qualified for registration of nurses). (only after passing the national examination and registering are nurses qualified). The personnel system is based on a merit-based system of hiring after a professional and technical examination and a review of academic qualifications, with a six-month probationary period. The Ministry of Health and Welfare has set the retirement age for hospital administrators at 60 years old and for medical technicians at 65 years old. Hospitals implement the Wage Law promulgated by the State, which sets wages according to positions and rewards 30% of the staff three times a year, divided into three levels, A, B, and C, with three consecutive A-level promotions of one level in a year. The State encourages urban doctors to work in rural areas, where wages are significantly higher than in cities. After graduation, college medical students must be trained as postgraduates (known as trainee doctors) or physician assistants for five years, and can only become full-fledged physicians and engage in treatment independently if they are evaluated and qualified by the hospital's council. The economic management system of hospitals can be divided into national hospitals (approved and funded by the Ministry of Health, Labour and Welfare or the Ministry of Education, Culture, Sports, Science and Technology, and the Labour and Welfare Agency), local public hospitals (subsidized by localities for all kinds of hospitals managed by the metropolis, provinces, prefectures, municipalities, and towns), associations (the National Federation of Social Insurance Associations, the National Health Insurance Corporation, and the ****Jihad and its Federation), or private hospitals (financed by those who establish them, independently accounted for and self-financing, and accounting for a significant portion of Japanese hospitals). They account for 64.1% of the number of hospitals and 39.6% of the number of beds in Japan). Only about one-third of the national hospitals in Japan are close to balanced, and the remaining two-thirds are subsidized by the government through special grants. 1960 saw the introduction of a universal healthcare system in Japan, which forced everyone to be insured, and which paid 70%-80% of the medical costs of the majority of patients, as well as 100% of the ancillary costs of wheelchairs, self-help devices, and prosthetics for people with disabilities, so hospitals were, on the one hand, under the leadership of the government and the organizers. Therefore, hospitals accept the leadership of the government and the organizers, on the other hand, by the insurance companies have a greater influence.