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陕西省西安市推进“县镇一体化”改革已经4年了,实践证明,这项改革,以及在此基础上向纵深发展而出的“镇村一体化”、“医疗联合体”等一体化改革措施,能够有效促进优质医疗资源下沉,提高基层医疗卫生机构的服务能力和整体活力。我们的现实,一是基层医疗卫生机构服务能力差,导致“门前冷落车马稀”。目前,社区卫生服务机构、乡镇卫生院实现了规范化建设,财政保障也基本实行了财政全额供养,但是在基本设施设
Shaanxi Province, Shaanxi Province to promote “county-town integration ” reform has been 4 years, practice has proved that this reform, and on this basis to develop in-depth “town-village integration”, “medical union Body ”and other integrated reform measures can effectively promote the sinking of high-quality medical resources and improve the service capabilities and overall vitality of primary health care institutions. Our reality is that the poor service capability of primary health care institutions leads to At present, the community health service agencies and township hospitals have achieved standardized construction, and the financial guarantee has basically implemented the full financial support. However, in the basic facilities