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考察农村卫生院的形成和发展机制可以看出:一是按计划经济要求配置农村卫生资源;二是按行政区划要求设置卫生机构;三是按行政指令运转。这些显然已不适应社会主义市场经济的需要,改革势在必行。 市场经济是多元结构的混合体,多极经济结构必然导致所有制的多元化。目前农村卫生院资产构成已含国家拨款、集体积累、个人集资、群众捐助等多种成份,其职工也是全民、集体、招聘、临时工等所有制混合构成。在市场经济的孕育下,所有制实现形式的变革也呈必然趋势。
The inspection of the formation and development mechanism of rural health centers can be seen as follows: First, rural health resources are allocated according to the requirements of the planned economy; second, the establishment of health facilities according to the requirements of administrative divisions; and third, it is operated according to administrative instructions. These obviously have not adapted to the needs of the socialist market economy and reforms are imperative. The market economy is a mixture of multiple structures. The multipolar economic structure will inevitably lead to the diversification of ownership. At present, the asset composition of rural health centers has included various components such as state funding, collective accumulation, individual fund-raising, and mass donations, and its employees are also mixed ownership systems such as national, collective, recruitment, and temporary workers. Under the gestation of a market economy, the reform of the ownership system has also become an inevitable trend.