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山东省卫生改革与发展虽然取得了一定成绩,但也存在着许多困难和问题。尤其是随着社会主义市场经济的发展,一些深层次矛盾逐步暴露出来。卫生机构设置布局不合理,条块分割,重复建设。卫生管理政出多门,职能交叉,难以产生综合效益。卫生资源配置不合理,利用效率低,短缺与浪费并存。城市卫生资源基本上分布在三级医疗卫生机构,其中大医院又集中了
Although Shandong Province’s health reform and development have achieved certain results, there are also many difficulties and problems. In particular, with the development of the socialist market economy, some deep-seated conflicts have gradually emerged. The layout of health institutions is irrational, partitioning and duplicate construction. Health management has a lot of government and cross functions, and it is difficult to produce comprehensive benefits. The allocation of health resources is irrational, the utilization efficiency is low, and shortages and wastes coexist. Urban health resources are basically distributed in tertiary medical and health institutions, and major hospitals have concentrated