求翻译：因此当下医疗卫生体制的改革，除了要在问题导向的引领下务实地解决问题外，还需要有更多更深远的综合考量，从管理部门与医疗机构的关系着手。是什么意思？

Therefore, the present health care system reform, in addition to problem-oriented and pragmatic solution to the problem under the guidance, but also the need for more comprehensive consideration of more far-reaching, from management to proceed with the relationship between medical institutions.

正在翻译，请等待...

正在翻译，请等待...

Therefore the present health care system reform, in addition to the problem led led by pragmatic solution to the problem, the integrated consideration of the need for more more far-reaching, from the relationship between management and medical institutions.

Therefore the present health care system reform, in addition to the problem led led by pragmatic solution to the problem, the integrated consideration of the need for more more far-reaching, from the relationship between management and medical institutions.