在我国建立社会主义市场经济体制以来,对预防机构如何适应这一经济体制的转型有不同认识。一种倾向认为,市场经济是万能的,把预防机构推向市场就可以解决长期困扰预防机构生存与发展的经济问题。一度预防机构人员经费、业务经费得不到落实,甚至预防工作无法开展。为了生存与发展,预防机构不得不通过开展有偿服务弥补其经费不足。与此同时,出现了重有偿服务轻基本预防服务的混乱状况,严重地影响了“预防为主”方针的落实和人民群众享有预防服务的数量和质量。《中共中央、国务院关于卫生改革与发展的决定》颁发 Since China established a socialist market economic system, it has had different understandings of how preventive agencies adapt to this economic system transformation. One tends to believe that the market economy is omnipotent. Putting prevention agencies on the market can solve the economic problems that have long plagued the survival and development of prevention agencies. At one time, personnel costs and operational funds for prevention agencies were not implemented, and even preventive work could not be carried out. For survival and development, preventive agencies have to make up for their lack of funding through paid services. At the same time, there has been a turmoil in the payment of basic services for the prevention of heavy paid services, which has seriously affected the implementation of the “prevention oriented” policy and the quantity and quality of preventive services enjoyed by the people. The “Decision of the Central Committee of the Communist Party of China and the State Council on Health Reform and Development” was issued