改革开放二十年来,农村医疗有了长足发展,但受多种因素制约,广大农村仍然是我国卫生事业的“薄弱地带”。医疗机构经营管理不善,医疗设备落后和闲置,医务人员素质不高,广大农民看病就医难, “糊涂病糊涂医”的状况长期以来没有根本改观。河北定州市从1997年开始,借鉴企业连锁经营的服务方式,探索实行市、乡、村三级医疗机构“连锁医疗”,走出了一条搞活基层医疗卫生机 In the past 20 years of reform and opening up, rural medical care has developed by leaps and bounds, but it is constrained by a variety of factors. The vast rural areas are still the “weak areas” of China’s health undertakings. The poor management and management of medical institutions, the backwardness and idleness of medical equipment, and the low quality of medical personnel, the majority of farmers have difficulty in seeing a doctor, and the situation of “confusion with doctors” has not changed fundamentally for a long time. From 1997, Dingzhou City, Hebei Province, learned from the services of enterprise chain operations, explored the implementation of “chain medical services” in medical institutions at the three levels of cities, townships, and villages, and developed an invigorating primary health care machine.