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20年的改革开放,使我国的卫生事业获得了长足的发展。但计划经济时代遗留下来的条块分割、各自为政的办医体制,医疗机构“大而全”、“小而全”的运行机制,其弊端越来越不适应社会主义市场经济体制的发展。在医疗卫生资源尚很贫乏的我国,一方面投入不足,一方面却存在着大量的重复投入。医疗服务一方面供不应求,一方面又供过于求。这种卫生资源配置不合理,使用效益低下的局面,是我们下一步深层次改革所面临的课题之一。
Twenty years of reform and opening up have made great strides in the development of China’s health sector. However, the defects left over by the era of planned economy are fragmented and fragmented operating mechanisms that run their own business, medical institutions, “big and all,” and “small and complete ones.” Their drawbacks are becoming less and less suited to the socialist market economic system development of. In our country, where the medical and health resources are still very scarce, on the one hand, there is not enough investment and on the other hand, there is a great deal of duplication of effort. On the one hand, medical services are in short supply, and on the other hand, they oversupply. This allocation of health resources irrational, the use of low efficiency situation is one of the topics we face the next step in the reform.