我国经济体制改革推动了卫生工作改革,给卫生机构带来了新的生机和活力,卫生事业有了较快的发展。无论是观念上的变化,还是所有制、分配制度、管理制度、运行机制的改革,都出现了可喜的形势。但是,由于卫生工作性质、功能的复杂性,决定了卫生改革的艰难性。深化卫生改革仍是当前卫生工作的中心课题,特别是卫生管理体制改革尚待深入。一我国现行的卫生管理体制,基本上是第一个五年计划期间确定下来的。尽管这期间的国家体制改革有过一些变化,如重新确定隶属关系,明确职责,调整“条”、“块”关系等,但基本模式没有改变。它的主要特征 The reform of our country’s economic system has promoted the reform of health work and brought new vitality and vitality to health institutions, and the health industry has experienced rapid development. Whether it is a change in the concept or the reform of the ownership system, distribution system, management system, and operating mechanism, gratifying situations have emerged. However, due to the nature of the health work and the complexity of its functions, it has determined the difficulty of health reform. Deepening health reform is still a central issue in the current health work, especially the reform of the health management system remains to be in-depth. The current health management system in China is basically determined during the first five-year plan period. Although there have been some changes in the state system reforms during this period, such as re-determination of affiliation, clear responsibilities, and adjustments to the “article” and “block” relations, the basic model has not changed. Its main features