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(一) 卫生改革已经走过了十几年,“以工助医、以副补主”、“业余服务”、“有偿服务”等政策的提出和推行,卫生管理体制、医疗单位运行机制、医疗保障制度等方面的改革,对我国卫生业的发展,改善和提高公众的卫生和健康水平起到了很大的作用。但是,所有这些改革都是在计划经济体制下的改革,是在计划经济体制这个大框框内完善和优化卫生体制和卫生政策的改革。显然,这种条件下进行的改革不可能从根本上解决管理体制和运行机制上的问题。
(1) The health reform has gone through more than 10 years, with the formulation and implementation of policies such as “helping doctors with medical care, supplementing the main tasks with the doctors,” “amateur services,” and “paid services,” and the health management system, medical unit operation mechanism, and medical care. Reforms such as the protection system have played a significant role in the development of China’s health industry, and in improving and improving public health and health. However, all these reforms are reforms under the planned economic system. They are reforms to improve and optimize the health system and health policies within the framework of the planned economic system. Obviously, the reform under such conditions cannot fundamentally solve the problems of the management system and operational mechanism.