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1 医疗机构探索产权制度改革1.1 激发改革深化的复杂背景 卫生改革20年中,引进竞争机制,下放管理权限,实行各种形式的目标管理责任制等,在各个阶段产生出不同的改革效益。但随着市场经济的发展,改革的不断深化,两权分离不清,经营责任淡化等矛盾渐趋显露,加上卫生服务的价格体系没有理顺,卫生劳务和技术价值未能体现等,一些深层次的管理问题越来越突出。 长期在计划经济体制下运行的基层卫生机构,由于补偿不足、管理不善等,发展严重滞后,在医疗市场竞争中,
1 Medical Institutions Explore the Property Rights System Reform 1.1 Intensify the complex background of deepening reforms In the 20 years of health reform, the introduction of competition mechanisms, the decentralization of management authority, and the implementation of various forms of target management responsibility systems have yielded different reform benefits at various stages. However, with the development of the market economy, the continuous deepening of reforms, the unclear separation of the two powers and the dilution of operational responsibilities, the contradiction becomes increasingly apparent. In addition, the price system of the health service has not been rationalized, and the value of the health service and technology has failed to manifest. In-depth management issues have become increasingly prominent. The grass-roots health institutions that have long been operating under the planned economic system have been lagging behind due to lack of compensation and poor management. In the medical market competition,