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本文就地市级两个体制改革中出现的两个热点问题提出思考,与大家商榷。1 要建立切实可行的运行机制,降低内耗,避免职能的丧失 卫生监督离不开卫生监测（卫生技术服务）的支撑,不论机构如何改变,监督、监测两大职能在卫生监督实施过程中都是密不可分的。由于国家财力不足,短期内对卫生监测进行全额投入尚无可能,监测这一卫生技术服务职能的实施实行有偿服
This article on the municipal reform in the two system reform in the two hot issues put forward to discuss with you. 1 to establish a viable operational mechanism to reduce internal friction and avoid loss of functions Health monitoring can not do without health monitoring (health technical services) support, no matter how the body changes, supervision and monitoring of the two functions in the implementation of health supervision are Inseparable. Due to insufficient national financial resources, it is not possible to fully invest in health monitoring in the short term. To monitor the implementation of this function of health technology service,