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目的：探讨90年代农村经济体制改革过程中从事卫生保健工作的乡村医生的经济行为及其对疟疾防治工作的影响。方法：以问卷访谈的形式分别对豫南疟疾高发区的固始、商城2县的519名乡村医生进行调查。结果：277名31岁以上的乡村医生中，高中以上文化程度和接受两年以上专业培训的分别占42．76％和49．1％；而242名3O岁以下的分别占63．2％和76．0％。被调查的人中45．9％的人从医6～7k／周。85．7％的人收取1～5元的诊断费。有82．2％的人用5％以下的时间做疟疾防治工作。6．4％的人对本村流动人口进行预防性服药。结论：改革以来，乡村医生的整体素质没有降低；他们有着比一般农民高得多的收入；他们从事门诊工作的积极性很高，但对疟疾防治工作的主动性不够。
OBJECTIVE: To explore the economic behavior of rural doctors engaged in health care in the process of rural economic system reform in the 1990s and its impact on malaria prevention and control work. Methods: A total of 519 rural doctors in 2 counties of Gushi and Shangcheng were investigated in the form of questionnaire interviews. Results: Among 277 rural doctors aged 31 and above, 42.76% and 49.1% of them had received high school education and received professional training for more than two years respectively; while 242 under-30s accounted for 63.2% and 76.0%. 45.9% of the surveyed people were treated from 6 to 7k / week. 85.7% of people charge 1 to 5 yuan for diagnosis. 82.2% of people used malaria control work below 5% of the time. 6.4% of the floating population in the village for preventive medication. Conclusion: Since the reform, the overall quality of rural doctors has not diminished; they have far higher incomes than the average farmer; they are highly motivated in outpatient work but not enough to malaria prevention and control work.