不久前,国务院常务会议审议通过了《关于发展城市社区卫生服务的指导意见》,该“意见”把解决群众看病难、看病贵问题的突破口锁定在了发展社区卫生服务上。在这项改革中,大小医疗卫生机构之间的“双向转诊”是关键。而能否实行规范有序的双向转诊制度,是事关社区卫生服务能否健康发展的关键性问题之一。如何有效突破“双向转诊”的瓶颈,需要方方面面切实有效的“联动改革”。 Not long ago, the State Council executive meeting reviewed and approved the Guiding Opinions on Developing Community Health Services in Cities. The “opinions” have locked the breakthrough in solving the problems of the difficulty of seeing and paying expensive medical bills for the development of community health services. In this reform, the “two-way referral” between large and small medical and health institutions is the key. Whether the implementation of a normative and orderly two-way referral system is one of the key issues concerning the healthy development of community health services. How to effectively break through the bottleneck of “two-way referral” requires effective and effective “linkage reform” in all aspects.