Health care in China is plagued with problems, including barriers to access, maldistribution of resources, inefficiencies and uneven quality. The management of human resources in the health care system has a significant effect on what happens in the clinic and the ward. The management of staff appointments and the remuneration system are two critical areas that remain problematic although they have received government attention. We argue that new approaches to policy development and implementation are needed to achieve a high-performance health care system. In particular, we suggest a new focus on the challenges of policy interdependence across sectors and among levels of administration. We highlight the need for a clear vision for health care, which would provide direction for the entire reform process, and also for a restructuring of the system of accountability.

中國的衛生改革取得了一定的成績，但是也面臨嚴峻的挑戰，包括醫療服務的可及性，衛生資源的合理利用，以及服務效率和質量等問題。衛生人力資源管理存在的問題反映了由宏觀衛生政策的偏差所帶來的影響，尤其是人事制度和分配制度改革所暴露的問題十分顯著。本文通過對現行衛生人事制度和分配制度的分析，認為要實現好的衛生系統績效，采取新的政策開發和實施策略非常必要。強調了不同層面、不同領域之間政策相互依賴的重要性。指出衛生改革需要所有相關領域對改革的願景和方向達成共識，並明確政策實施過程中各方的職責。

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