结合国家、兵团对深化医改的要求,自2009年以来,农四师相继出台了一系列有关医改的配套政策和工作方案。经过两年的实践和探索,医改五项重点工作取得初步成效,一定程度上缓解了“看病难、看病贵”的问题,但在医改实践中也发现存在卫生管理能力薄弱、职能过于分散、难以统筹使用卫生资源,卫生投入稳定增长机制尚未形成,基层卫生人才流失现象十分突出,基本药物使用率不高等问题。本文对如何深化兵团基层医改进行了一些思考,提出了“注重创新驱动,进一步推进体制机制改革”、“落实政策补偿,建立政府投入长效机制”、“稳定人才队伍,充分发挥医务人员主力军作用”、“采取有力措施,严格执行基本药物制度”、“坚持统筹兼顾,逐步实现公共卫生服务均等化”、“加大宣传力度,提高认知水平”等工作思路。 Combined with the requirements of the state and the Corps for deepening medical reform, since 2009, the four agricultural divisions have successively released a series of supporting policies and work programs on medical reform. After two years of practice and exploration, the five key tasks of medical reform have achieved initial success and to a certain extent alleviated the problem of “difficulty in seeing a doctor and expensive doctor”. However, in the practice of medical reform, we also found that the capacity of hygienic management is weak and the functions are too dispersed It is difficult to make overall use of health resources. The mechanism for steady growth of investment in health has not yet taken shape. The erosion of grassroots health professionals is extremely prominent, and the utilization rate of essential medicines is not high. This article has made some thinking on how to deepen the basic medical reform of Corps, put forward “to focus on innovation-driven, to further promote the reform of institutional mechanisms”, “to implement the policy of compensation, the establishment of long-term mechanism of government investment,” “stable personnel, We will give full play to the role of the main force of medical personnel and take effective measures to strictly enforce the basic drug system. We will continue to make overall plans and take equal efforts to gradually achieve equalization of public health services, and we will step up publicity efforts and raise awareness level ”And other work ideas.