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在新医改情境下,乡镇卫生机构“医防分设”模式与政府“重点在每个乡镇办好一所卫生院”的基本制度设计的体制冲突,再次引起对其政策去向的思考。“医防分设”模式运行后,农村三级服务网络结构和相关领域功能都发生了变化,并使卫生体制形成一些明显的特征。其与新医改精神的对接,可有不同的政策方案组合。以现存体制特征和政策优势为起点,从理论层面理解“政府办好一所卫生院”的理由,并考虑众多的影响因素,可能更有助于定性推导“医防分设”模式政策终止、调整或延续的政策去向。
Under the new medical reform situation, the institutional conflict between the design of the basic system of township health institutions “medical prevention and separation of labor ” and the government “focusing on the implementation of a hospital in every township ” has once again aroused the reflection of its policy direction . After the operation mode of “medical prevention and separation of labor” has been implemented, the structure of tertiary service network in rural areas and the functions of relevant fields have undergone changes, and some obvious features have been formed in the health system. Its docking with the spirit of new medical reform, there may be a combination of different policy options. With the existing institutional features and policy advantages as a starting point, we can understand the reason why “the government runs a health center” theoretically and consider many influencing factors, which may be more helpful for the qualitative deduction of “medical prevention and separation” mode Policy termination, adjustment or continuation of the policy direction.