乡镇卫生院和村卫生室是农村三级医疗卫生网的“枢纽”和“网底”。在农村经济体制发生巨大变化的新形势下,特别在市场经济发展的今天,怎样继续发挥这两级组织的枢纽和网底作用?怎样改变两级组织在管理上的各自为政、分散隔绝的状态?怎样从组织体制上保证初级卫生保健任务的全面落实和“2000年人人享有卫生保健”目标的真正实现,这是农村卫生工作亟待解决的新课题。广东省紫金县1994年开始推行 Township health centers and village clinics are the “hubs” and “bottoms” of rural tertiary medical and health networks. Under the new situation in which the rural economic system has undergone tremendous changes, especially in today’s market economy, how can we continue to play the role of the two-tier organizations’ hubs and nets, and how can we change the status of the two-tiered organizations in their respective management and decentralization? How to ensure the full implementation of the primary health care task and the realization of the goal of “everyone enjoys health care in 2000” from the organizational system is a new issue that needs to be solved urgently in rural health work. Zijin County, Guangdong Province launched in 1994