准确定位乡镇卫生院的功能是把握乡镇卫生院改革方向的关键。本文通过回顾乡镇卫生院组建沿革中的功能定位,评析转型时期乡镇卫生院改革中其功能的异化及其弊端,认为乡镇卫生院是为农村提供公共卫生服务的公益性卫生机构,其改革应在政府主导下,制定统一规则,通过强制性制度变迁整体推进。 Accurately positioning the functions of township health centers is the key to grasping the direction of township health centers reform. This article reviews the functional orientation of the establishment of township health centers, reviews the dissimilation and disadvantages of their function in the reform of township hospitals during the transition period, and believes that township health centers are public welfare health institutions that provide public health services for rural areas. Under the guidance of the government, we will formulate unified rules and promote overall progress through mandatory institutional changes.