一、引言 80年代以前,在提供效果好、成本低的基本卫生预防医疗保健服务(以下简称基本卫生服务)方面,中国的社区卫生服务取得了极大的成功。这种成功有赖于政府强有力的行政组织约束和基本财力的配合。 进入80年代以来,随着经济体制改革的深化,上述政府的主导作用已经大幅度地削弱。为了适应生存环境的变化,卫 I. INTRODUCTION Before the 1980s, community health services in China had achieved great success in providing basic health preventive medical care services (hereinafter referred to as basic health services) with good results and low costs. This success depends on the government’s strong administrative organization and the basic financial resources. Since the 1980s, with the deepening of the reform of the economic system, the leading role of the aforementioned government has been greatly reduced. In order to adapt to changes in the living environment, Wei