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贫困地区乡镇卫生院如何摆脱困境，是值得卫生管理者研究的重要课题。遂川县是井冈山脚下的一个贫困老区，1992年以前，全县28家乡镇卫生院每年至少有17家以上加差补仍然亏损，严重影响了卫生事业的发展。1993年开始，随着改革开放的深入，该县采取因地制宜走多元化改革的路子
How to get rid of the predicament in township and township health centers in impoverished areas is an important issue for health managers. Longchuan County is a poor old area at the foot of Jinggang Mountain. Before 1992, at least 17 township hospitals across the county had at least 17 plus deficits every year and they still suffered losses, which seriously affected the development of health services. Since 1993, with the deepening of reforms and opening up, the county has adopted a variety of reforms according to local conditions.