Résumé
The paper gives an account of the background, feasible model, content and procedure of the reform in community health services in Zhabei District of Shanghai and the content, method and preliminary conclusions of periodic evaluations of the reform. Taking the management system as its starting point, selecting the model of delegation management, and focusing on the basic idea of “separation of two powers and delegation of three powers”, the reform went ahead on two fronts: the health bureau and the centers for community health services. Experts making external periodic evaluations hold that the adoption of delegation management contributes to innovations in the internal operating systems, the improvement of community health services and the enhancement of economic compensation capability. However, some problems still remain to be solved. [