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1 改革管理体制,强化当地政府管理卫生院的职责。建立条块结合,以块为主的分级办医体制。实行乡管体制改革,这不仅体现了人民卫生人民办的方针.而且对初级卫生保健规划目标的实施也有了组织、经济和社会保证,也才可能使各级政府真正把卫生建设列入农村社会发展规划,在政策上实行优惠,经济上增加投入,技术力量上予以扶持,使乡卫生院摆脱困境。2 实行政策倾斜,充实和稳定农村卫技队伍。农村缺医,实际上是缺好大夫,当前向农村倾斜首先应该是政策和技术上的倾斜以及卫生系统内部结构重点的烦斜。其中包括引导农民走集体办医的路子;基层医疗服务逐步按成本收费;县
1 Reforming the management system and strengthening the responsibilities of local governments in managing hospitals. Set up a combination of blocks, block-based hierarchical medical system. Implementing the reform of the rural management system not only embodies the principles of the People’s Health People’s Office but also has organizational, economic, and social guarantees for the implementation of the primary health care planning goals. It is also possible for governments at all levels to truly include health construction in rural communities. Development planning, the implementation of preferential policies, increase investment in the economy, technical support to support the township hospital out of the woods. 2 Implement a policy tilt to enrich and stabilize the rural health technician team. The lack of medical care in rural areas is in fact a lack of good doctors. The current tilt to rural areas should first be the policy and technical tilt and the anxieties of the internal structure of the health system. This includes guiding farmers to the way of collective medical treatment; grass-roots medical services will gradually be charged at a cost;