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乡镇卫生院的改革对我国农村卫生事业的发展至关重要,它在县、乡、村三级预防保健网中不仅起着“桥梁”和“纽带”的作用,而且影响着三级预防保健网的整体效果。但是,近10年来我国绝大多数乡镇卫生院经营很不景气,多数卫生院处于瘫痪和半瘫痪状态。这其中有的是由于当地的经济状况和自然条件所限,有的则是由于当地的领导为了在激烈竞争的医疗市场中,站稳脚根、争夺患者,盲目追求高(高精的诊断仪器)、大(庞大的医院规模)、全(齐全的医疗配备),而忽视了现有资源的利用和自身优势的发挥。上海医科大学郝模等人对我国8省40个县110个乡卫生院的调查,进一步阐述了这一点。同时他们对困扰乡镇卫生院生存与发展的主要原因,做了科学的论证和分析,并提出了适合乡镇卫生院发展的两种模式。本刊发表此文,目的是与广大同仁和读者展开讨论。为使乡镇卫生院尽快的摆脱困境走出低谷,集思广益、献计献策。
The reform of township hospitals is of vital importance to the development of rural health in China. It plays a role as a “bridge” and a “link” in the county, township and village prevention health care networks, and it also affects the tertiary prevention and health care network. The overall effect. However, in the past 10 years, the vast majority of township hospitals in China have been operating in a sluggish state, and most hospitals are in a state of paralysis and semi-paralysis. Some of these are due to local economic conditions and natural conditions, while others are due to the local leadership’s desire to gain a foothold in the fiercely competitive medical market, compete for patients, blindly pursue high (high-precision diagnostic instruments), and large (Massive hospital scale) and full (complete medical equipment), while neglecting the utilization of existing resources and their own advantages. Shanghai Medical University Hao Mo et al. further elaborated on the survey of 110 township health centers in 40 counties in 8 provinces in China. At the same time, they made scientific argumentation and analysis on the main reasons that plagued the survival and development of township health centers, and put forward two models suitable for the development of township health centers. This publication publishes this article in order to discuss it with the majority of colleagues and readers. In order to get the township health center out of the predicament as soon as possible to get out of the trough, brainstorming and offering advice and suggestions.