Hospital establishment refers to the internal management system of the hospital, mainly managing the hospital's personnel, equipment, resources, etc., to provide medical services as the main goal. Career establishment refers to the management system within the state organs, institutions and other public **** institutions, mainly to manage civil servants, staff, etc., in order to complete the public **** services as the main task. The hospital establishment focuses more on the professionalism and efficiency of medical services, while the career establishment focuses more on the management and execution of public **** services.