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改革开放以来,我国医疗卫生事业发展取得了长足的进展,农村地区医疗卫生服务水平和服务能力都有了极大的提高,但是城乡之间医疗卫生服务水平还有着很大的差距。具体表现为:农村地区医疗投入长期不足,城乡医疗卫生资源分布不合理,农村地区医疗卫生人才缺乏。医疗卫生服务的公共属性必然要求政府承担相应的职责,政府在推进城乡医疗卫生服务一体化的过程中将扮演政策制定者、过程推动者、服务保障者和行为监管者四种角色。
Since the reform and opening up, tremendous progress has been made in the development of medical and health undertakings in our country. The service level and service level of medical and health services in rural areas have greatly improved. However, there is still a big gap between the service levels of medical and health services in urban and rural areas. Specific performance: long-term lack of medical investment in rural areas, urban and rural distribution of health care resources unreasonable lack of medical and health personnel in rural areas. The public properties of medical and health services will inevitably require the government to assume corresponding responsibilities. The government will play the four roles of policy makers, process promoters, service guarantors and behavior regulators in promoting the integration of urban and rural health services.