就我国政府购买农村公共卫生服务在北京市密云县的实践而言,存在购买程序缺失、性质不清、责任不明、监管失灵等问题,所以只有从法律地位、资质准入、购买程序、监管体系4个方面予以精致设计,才可以为其寻求正当性的制度支撑。同时配套转变观念、培育市场、科学测算等,确保其公共性和有效性,最终实现其更好地服务农村之初衷。 As far as the practice of purchasing public health services in rural areas in Miyun County, Beijing is concerned, the government has some problems such as lack of purchase procedures, unclear responsibilities, unclear responsibilities and regulatory failure. Therefore, only from the legal status, access to qualification, purchase procedures, regulatory system Only four aspects should be exquisitely designed before they can seek justified institutional support. At the same time supporting the concept of change, nurture the market, scientific calculations, to ensure its publicity and effectiveness, and ultimately to achieve its better service to rural areas in mind.