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我国有些县的医疗改革缺乏全面统筹规划,不能有效地协调联动,致使县域卫生事业发展不平衡,卫生资源配置不合理,医疗卫生结构不协调。因此,县域医改一是要全面统筹规划,坚持整体发展,进行整体协调改革;二是要解决基础定位该怎么定的问题,资金从何处筹集、人员往何处去等关键问题;三是要打破以药养医,坚持公益性质,建立医改的保障机制,明确主体责任机制,坚持政策配套,投入常态机制和医技养医机制。
The medical reform in some counties in our country lacks a comprehensive and overall plan and can not coordinate and coordinate effectively. As a result, imbalanced development of county health undertakings, irrational allocation of health resources, and uncoordinated medical and health care structures have emerged. Therefore, the county medical reform should first and comprehensive planning, adhere to the overall development, the overall coordination and reform; the second is to solve the basic positioning of how to set the problem, where to raise funds, where to go and other key issues; the third is to We will break through the principle of providing medicine and medicine, stick to the nature of public welfare, establish a mechanism for guaranteeing medical reform, clarify the mechanism of principal responsibility, adhere to policy support, and devote normal mechanisms and mechanisms for medical and pharmaceutical care.