Motivate Mechanism in fiscal decentralization strengthens opportunism of microeconomic entity and enforce them to seek personal interests or departmental benefits. By means of centralization of good medical resource ,the medical institutions implement enterprise management and conduct of business activities. Therefore, the centralization of good medical resource keep up with administration rank of the city, at the same time, the accordance is strengthening.Finally, the mismatch of medical resource centralization supply and decentralization demand come into being difficulty of getting medical service.This paper get three suggestion: promoting reform of the mechanism of appropriate funds to increase the treatment of medical personnel, restraint the SID; optimization the configure of good medical resource in urban; perfecting and strengthening the fluid of medical resource. <<