改革开放以来,医疗卫生改革所取得的成绩是有目共睹的,但是随着改革的不断深化,也暴露出了不少值得注意的问题。主要表现为重经济效益,轻社会效益,以经济效益或者侧重于经济效益指标考核各级责任承包效果。这就需要加强管理和监督,一方面是指社会的、外部的,另一方面也来自单位内部。因此卫生改革要进一步深化,医疗卫生机构就需要同时建立健全自我约束的机制。 Since the reform and opening up, the achievements made in the medical and health reform are obvious to all. However, with the continuous deepening of the reform, many problems have been exposed. Mainly manifested as heavy economic efficiency, light social benefits, economic efficiency or focusing on economic indicators to assess the effectiveness of contracting at all levels. This requires strengthening management and supervision. On the one hand, it refers to social and external, and on the other hand, it also comes from within the unit. Therefore, health reforms must be further deepened, and medical and health institutions need to establish and improve self-discipline mechanisms at the same time.