当前我国农村卫生事业出现的严峻形势是:部分卫生院和村卫生所散伙停办,医务人员或个体行医,或弃医务农、经商,或从事其它行业。主要原因是农村卫生事业经费难以为继造成的。为要巩固农村卫生事业的阵地,在农村实现“2000年人人享有卫生保健”的战略目标,当务之急,是寻求解决农村卫生事业经费的途径。一、农村卫生事业的经济背景我国农村卫生事业,其组织形式是三级医疗预防保健网;其经济依托,依赖于以队为基础的集体经济支撑;其管理体制,是县卫生局与当地人民公社的双管体制。它产生于人民公社历史时代,存在和发展适合于人民公社制度,自当在人民公社环境中充分发 The current grim situation in China’s rural health industry is: some health centers and village clinics are disbanded, medical personnel or individuals practice medicine, or they abandon medical farming, business, or engage in other industries. The main reason is that rural public health funds are difficult to sustain. In order to consolidate the positions of the rural health industry and achieve the strategic goal of “Health care for all in 2000” in the rural areas, it is imperative to seek solutions to rural health expenditure. I. Economic Background of Rural Health Care The rural health undertaking in China is organized in a three-tiered medical preventive health care network; its economic support relies on team-based collective economic support; its management system is the County Health Bureau and local people. The commune’s double-pipe system. It originated in the historical era of the people’s communes, and its existence and development were suitable for the people’s communes system. It was fully developed in the people’s commune environment.