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改革内容方面:资金短缺;改革意识淡漠,市场态势不清。改革策略方面:改革经验形成堆积;物质激励过度;党政关系难于协调。改革程序方面:地区间缺乏总体卫生改革程序控制。从当前宏观卫生改革情况出发;提出如下建议:加强卫生改革程序管理,健全宏观调控机制,做好引导、协调、控制等工作;加强卫生改革策略管理,努力拓宽支持、保障渠道,争取领导、社会、群众的支持;加强对卫生改革内容的管理,努力完善各项有效措施,协调党政关系、推行各种责任制、试行职工聘任制、完善内部分配制度、加强质量控制、提高综合效益,促进医德医风好转。
In terms of reforms: shortage of funds; indifferent sense of reform; unclear market conditions. In the aspect of reform strategy, reform experience has formed accumulation; material incentives are excessive; and party-government relations are difficult to coordinate. In terms of reform procedures: There is a lack of procedural control over the overall health reform between regions. Starting from the current situation of macro health reforms, the following suggestions are proposed: strengthen the management of health reform procedures, improve the macro-control mechanism, do a good job in guiding, coordinating, and controlling; strengthen health reform strategy management, strive to broaden support and safeguard channels, and strive for leadership and society And the support of the masses; strengthen the management of the content of health reform, strive to improve various effective measures, coordinate party-to-government relations, implement various responsibility systems, try to implement the appointment system for employees, improve the internal distribution system, strengthen quality control, and increase overall efficiency. Medical ethics improved.