指出一个有效率的中心地体系建立在需求方对需求内容和各级中心地提供的中心商品具有明确认知的基础上,城市医疗卫生设施布局规划忽视了医疗服务需求是由供给者确定的特点,是造成规划失效的主要原因。提高社区医疗卫生机构的诊断水平,以及制定相关辅助政策,保障“首诊在基层”服务模式是矫正规划失效的有效举措。 It is pointed out that an efficient central system is based on the clear understanding of the demand side and the central goods provided by the centers at all levels. The layout of urban medical and health facilities neglects the demand of medical services and is determined by the supplier , Is the main reason for the failure of the plan. Improve the diagnosis level of community medical and health institutions, and formulate relevant supporting policies to ensure that “the first diagnosis at the grassroots level” service mode is an effective measure to correct the failure of planning.