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从1990年10月到1992年8月,我们在全国12个市(区),即哈尔滨、四平、洛阳、焦作、温州、苏州、扬州、无锡、开封、岳阳、沙市及黄山市屯溪开展了区域卫生服务综合效益评价的初步研究。这12个市(区)的人口大约占全国人口的4.5%,面积占全国总面积的2.1%,GNP占全国总数的6.19%(1987~1991年的平均值)。从这样一个范围上对最近五年情况的调查分析,我们获得了许多关于优化配置的有益启示。一、树立区域发展观念,制定并实行区域卫生发展规划在计划经济体制期间,卫生机构片面地按照部门,级别设置,条块分割,各自为政,职能重复交叉,不符合区域整体优化原则。本次调查某区域内人口不到40万,面积不足200平方公里,却由不同的部门建设了18家职能
From October 1990 to August 1992, we launched in 12 cities (districts) in the country, namely Harbin, Siping, Luoyang, Jiaozuo, Wenzhou, Suzhou, Yangzhou, Wuxi, Kaifeng, Yueyang, Shashi, and Tunxi in Huangshan City. A preliminary study on the evaluation of comprehensive benefits of regional health services. The population of the 12 cities (regions) accounts for approximately 4.5% of the country’s population, and their area accounts for 2.1% of the country’s total area. GNP accounts for 6.19% of the country’s total (average from 1987 to 1991). From such a range of investigation and analysis of the situation in the last five years, we have obtained many useful inspirations for optimizing the allocation. First, establish regional development concepts and formulate and implement regional health development plans. During the planned economic system, health agencies unilaterally divided the departments according to departments and levels, divided them into different sections, and operated independently. The functions overlapped and did not meet the overall optimization principles of the region. In the survey, the population in the area was less than 400,000 and the area was less than 200 square kilometers, but 18 functions were established by different departments.