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目前,我国医疗卫生服务机构仍具有浓厚的行政色彩,还在按行政隶属关系授予公立医疗机构行政级别,其中,基层卫生机构(社区卫生中心和卫生院)工作人员也按公益一类实行编制管理。由于管办不分,有关部门通过药品统一招标干预医药价格也就顺理成章;各公立医疗机构基于行政文件规定的职责分工,其卫生服务体系也只围绕“以疾病为中心”“以病人为中心”。
At present, China’s medical and health service agencies still have a strong administrative color. They are also granted the administrative level of public medical institutions according to the administrative affiliation. Among them, the staffs of grass-roots health institutions (community health centers and public health centers) . As the tube does not divide, the relevant departments through drug uniform bidding intervention medicine prices will be a matter of course; all public medical institutions based on administrative documents the division of responsibilities, the health service system is also only around the “disease as the center ” as a center".