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通过对3个贫困县村医疗点及乡村医生的抽样调查表明,目前贫困地区乡村医生以个体行医为主,医疗点的收入主要来自药品收入,达80％以上,诊疗收入及集体资助极少。支出中的70%以上用于购买药品,而忽视了医疗条件的改善和自身医疗水平的提高。村医的收入相当于当地农民的平均水平,而医疗保健方面投入的时间与其收入不成比例,尤其是防保收入极低,影响了村医的积极性。
Through a sample survey of medical sites and rural doctors in three impoverished counties, it is shown that rural doctors in impoverished areas are mainly self-employed. The income of medical centers mainly comes from drug income, which is more than 80%. The income from medical treatment and collective funding is minimal. More than 70% of expenditures are spent on the purchase of medicines, ignoring the improvement of medical conditions and the improvement of their own medical standards. The income of village doctors is equivalent to the average level of local farmers, and the time invested in health care is not proportional to their income, especially the low income of prevention and control, which affects the enthusiasm of village doctors.