十年来,我国的卫生防疫事业有了很大发展,从总体看,卫生改革的方向和宗旨是正确的,主流是好的。但必须看到还存在许多问题,当前带有共性而且比较突出是“五不”问题:1 改革措施单项多,综合少,总体框架不稳定从1979年,全国卫生厅局长会议报告提出“实现医药现代化,必须在管理上进行改革”,到1990年3月份全国卫生厅局长会,陈敏章部长发表“搞好治理整顿,深化卫生改革”讲话,我国卫生改革已经历了整整十年历程。十年来,先后出台了属于管理体制改革措施有院(所)、站长负责制,多渠 In the past decade, China’s health and epidemic prevention has made great progress. On the whole, the direction and purpose of health reform are correct, and the mainstream is good. However, we must see that there are still many problems. The current problems that are common and more prominent are the “five-noes” problem: 1 There are multiple reform measures, few integrations, and overall framework instability. Since 1979, the report of the National Directorate of Health’s meeting put forward “Accomplishing medicine For modernization, we must carry out reforms in management.” By March 1990, the Director-General of the National Health Department and Minister Chen Minzhang made a speech on “Doing a good job in rectifying and deepening health reforms.” China’s health reform has gone through a decade. In the past ten years, several measures have been introduced to reform the management system, including hospitals (institutions) and webmasters’ responsibility systems.