【摘要】 描述了目前国内任何地区的区域卫生规划研制和实施时面对的中短期 ( 2～ 5年内 )工作重点———我国医药卫生、医疗保障和社会经济协调发展战略。我们认为要形成卫生事业与社会之间的协调发展状况 ,必须在短期内克服和解决四方面逻辑相关的问题 :如社会和卫生两方关注的表现问题得不到有效解决 ;医保改革将缺乏有效运作条件 ;两者也导致医院内部改革缺乏动力 ,卫生事业发展难见突破性进展 ;区域卫生规划在上述基础上极有可能流于形式。另外 ,医疗卫生机构在体制和产权制度方面的改革滞后于宏观社会经济改革进程 ,也给上述问题的解释和解决披上了模糊的色彩。文章依据研究结果 ,分步阐述了短中期规划中的工作重点更多还原

【Abstract】 The paper describes the short and medium term (within 2 to 5 years) priorities that any region in China right now faces in working out and implementing its regional health planning, viz. the coordinated development strategy of medicine and health, medical security and social economy. The authors hold that to achieve the coordinated growth of the health cause and society, it is imperative to overcome in the short run logically related obstacles in four aspects: ineffective solution to the apparent problems followed with interest by both the social and health sectors and lack of effective operating conditions accompanying medical insurance reform, both resulting in the lack of a driving force in the reform within hospitals; difficulty in achieving breakthroughts in the development of the health cause; and the probability of a regional health planning becoming a mere formality because of the above factors. In addition, the fact that reform of medical and health institutions in their setup and ownership of property rights lags behind macroscopic social economic reform obscures the explanation of and solution to the above problems. Based on the research results, the paper sets forth the priorities in short and medium term planning.更多还原