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乡镇卫生院的改革,是一个受到普遍关注的难点和热点问题。近年来,各地都在积极探索,进行了“五定一奖”、技术经济责任制、承包责任制、综合目标管理责任制、股份合作制以及租赁、股份制等管理体制、经营机制等方面的改革,收到了较大的成效。但是,在我们山区农村地区来看,这些改革措施和管理办法逐渐失灵,有些单位面貌依旧,尚有25％～30％的乡镇卫生院仍然入不敷出,负债经营,功能日下,甚至趋于恶性循环的“重危”状态。为了深化改革,摆脱困境,我区今年乡镇卫生院的改革着重在改革的力度和深度上进行突破,先后在部分县的乡镇卫生院实行了抵押综合承包。
The reform of township health centers is a difficult and hot issue that has received widespread attention. In recent years, various regions have actively explored and conducted reforms such as the “Five-in-one-out award”, technical and economic responsibility system, contract responsibility system, comprehensive target management responsibility system, shareholding cooperation system, and management systems and operating mechanisms such as lease and shareholding systems. , received greater results. However, in the rural areas of our mountainous area, these reform measures and management methods gradually fail, and some units still look like, and 25% to 30% of the township hospitals are still living beyond their means, operating in debt, functioning daily, and even tending towards a vicious cycle. The “critical” state. In order to deepen the reform and get rid of the predicament, the reform of township hospitals in our district has focused on breakthroughs in the intensity and depth of reforms, and mortgages have been comprehensively contracted in township hospitals in some counties.