求翻译：我国现行的公立医疗机构的管理制度已经不适应现代社会发展的需求，到了非改不可的地步，公立医疗机构的医疗管理、质量管理、学科建设、制度建设、意识形态建设都制约了我国医疗卫生事业的发展。是什么意思？

China's existing management system in public medical institutions are no longer meet the demands of the development of modern society, to the point of change is not available, medical management, quality management in public medical institutions, subject construction, system construction, ideology all factors restricting the development of medical and health undertakings in China.