描述了目前国内任何地区的区域卫生规划研制和实施时面对的中短期 ( 2～ 5年内 )工作重点———我国医药卫生、医疗保障和社会经济协调发展战略。我们认为要形成卫生事业与社会之间的协调发展状况 ,必须在短期内克服和解决四方面逻辑相关的问题 :如社会和卫生两方关注的表现问题得不到有效解决 ;医保改革将缺乏有效运作条件 ;两者也导致医院内部改革缺乏动力 ,卫生事业发展难见突破性进展 ;区域卫生规划在上述基础上极有可能流于形式。另外 ,医疗卫生机构在体制和产权制度方面的改革滞后于宏观社会经济改革进程 ,也给上述问题的解释和解决披上了模糊的色彩。文章依据研究结果 ,分步阐述了短中期规划中的工作重点 Describes the short-term and mid-term (two to five years) priorities for the development and implementation of regional health plans in any region in the country—the coordinated development strategy of China’s medical and health care, medical security, and social economy. We believe that in order to develop a coordinated development between the health industry and society, it is necessary to overcome and solve the problems related to the logic of the four aspects in a short period of time: If performance issues of concern to society and health are not effectively solved, health insurance reform will lack effective The operating conditions; both have led to a lack of motivation in the internal reform of the hospital, and it is difficult to see breakthrough progress in the development of the health industry; regional health planning is very likely to be in a form on the above-mentioned basis. In addition, the reforms in the institutional and property rights systems of medical and health institutions lag behind the macro social and economic reform process, and they also cast a vague nuance on the interpretation and resolution of the above issues. Based on the research results, the article elaborates on the focus of work in the short-to-medium-term planning.