一、卫生行政部门的职能转变问题卫生行政管理部门要实现职能转变,还存在着很多的困难。主要原因是由于过去的体系是“管办不分”的。卫牛行政部门既要管医疗机构又要办医疗机构,既要顾及社会公众的利益还要顾及医疗机构利益,从一定程度上讲既是“裁判员”又是“运动员”。现存要实行职能转变,首先要解决的问题就是原卫生行政管理部门管辖之下的医疗卫生服务机构的归属问题。一些有行政管理功能的医疗卫生服务机构或部门如疾控中心等机构,可以继续保留卫生行政部门的隶属关系,而以提供医疗卫生服务的机构或部门就应该不再与卫生行政部门保持直接隶属 First, the functional changes in the health administrative departments Health administrative departments to achieve functional changes, there are still many difficulties. The main reason is due to the past system is “management ”. Weihun administration should not only manage the medical institutions but also the medical institutions, taking into account the interests of the public as well as the interests of the medical institutions, to a certain extent, both the “referee” and the “athlete”. Existing to implement the functional changes, the first problem to be solved is the original health administrative departments under the jurisdiction of the medical and health services attribution issues. Some health care service agencies or departments with administrative functions such as CDC can continue to retain the affiliation of the health administrative department and the institutions or departments that provide medical and health services should no longer be directly affiliated with the health administrative department