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为探讨建立乡村医生报酬支付机制及制定相关政策提供参考,对福建、贵州、山西、河南4省7县试点乡镇村卫生室和村医调查资料进行分析后发现,村医收入在试点乡镇属中上水平,队伍相对稳定,不存在因报酬低而流失的问题,但报酬结构不合理,药品收入比重大,预防保健服务补偿不足,乡村集体补助极少。需采取必要的措施理顺报酬结构,研究合理支付村医报酬的机制。
In order to explore the establishment of payment mechanisms for rural doctors and formulate relevant policies, the analysis of survey data of village clinics in villages, towns, villages and villages in four provinces of Fujian, Guizhou, Shanxi and Henan revealed that the income of village doctors was in the pilot township genus. At the top level, the team is relatively stable, and there is no problem of loss due to low compensation. However, the structure of compensation is irrational, the ratio of drug income is significant, the compensation for preventive health services is insufficient, and collective subsidies for rural communities are minimal. Need to take necessary measures to straighten out the remuneration structure and study the mechanism for rational payment of remuneration for village doctors.