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一、存在的主要困难和问题 1.行政管理水平不高。要合理配置卫生资源,一个重要前提是搞好区域卫生发展规划,并认真贯彻执行。但当前部分地方的行政领导执行区域卫生发展规划有很大的随意性,符合自己口味的就干,不符合的就拖着办或顶着办。尤其在乡镇卫生院建设上,不从实际情况出发而贪大求洋,造成卫生资源配置不合理和浪费等情况屡见不鲜。尤其是乡镇卫生院已下放乡镇政府管理,建设资金以乡镇投入为主,卫生行政部门的指导仅供参考,无约束力。
First, the main difficulties and problems 1. The level of administrative management is not high. An important prerequisite for the rational allocation of health resources is to do a good job in regional health development planning and implement them in earnest. However, the administrative leaders of some localities in the current implementation of the regional health development plan have a great deal of arbitrariness, and they do whatever suits their tastes. In particular, in the construction of township hospitals, it is not uncommon for them to start from the actual situation and greed for the oceans, resulting in unreasonable allocation of health resources and waste. In particular, township hospitals have been devolved into township government administration. The construction funds are mainly invested by townships. The guidance of the health administration department is for reference only and is not binding.