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在党的十四大确定建立社会主义市场经济体制后,医疗卫生服务领域内,在围绕把医疗推向市场和适应市场这一重大原则问题上,出现了百家争鸣的局面。笔者认为,在适应社会主义市场经济体制发展时,各级医疗卫生管理者应把握好四个导向。一是要把握好思想导向,坚持以救死扶伤、实行革命的人道主义为执业宗旨,弘扬白求恩精神,树立正确的价值观和全心全意为人民服务的思想;二是坚持正确的政策导向,要用“大卫生观”宏观设计和调控全社会的医疗卫生机构,使之与经济和社会的发展协调前进,保证社会每位公民都能享受基本卫生保健的医疗服务的公正性、可及性;三是把握适度发展目标的建设导向,从我国的卫生国情出发,掌握好卫生工作改革的走向和力度,以为患者提供优质、高效、低耗的服务为准则,走以质量求信誉、以强化管理求效益、以效益促发展,低投入、高产出的正路;四是坚持以规划为导向,按照人群的实际卫生需求制订区域医疗规划,合理配置和利用医疗卫生资源,不断完善我国城乡三级医疗预防保健服务网。
After the establishment of the socialist market economic system in the Party’s 14th National Congress, in the field of medical and health services, there was a contending situation concerning the major principle issues of bringing medical care to the market and adapting to the market. The author believes that in adapting to the development of the socialist market economic system, health care administrators at all levels should grasp four directions. First, we must grasp the ideological orientation, adhere to the purpose of practising the purpose of salvaging the wounded and rehabilitating the revolutionary humanitarianism, promoting the Bethune spirit, establishing correct values, and serving the people wholeheartedly. Second, we must adhere to the correct policy orientation and use “big sanitation”. “Views” macro-designs and regulates the whole society’s medical and health institutions, making them coordinate with the development of the economy and society, ensuring that every citizen of the society can enjoy the impartiality and accessibility of basic health care medical services; The development orientation of the development goals, starting from China’s national conditions for health, and grasping the direction and strength of the reform of the health work, aiming at providing patients with high-quality, high-efficiency, and low-cost services as the criteria, taking quality as their credibility, and strengthening management for efficiency, Benefits promote development, low input, and high output are the right way; Fourth, adhere to the planning-oriented, in accordance with the actual health needs of the population formulate regional medical planning, rational allocation and use of medical and health resources, and constantly improve China’s urban and rural tertiary medical preventive care services network.