湘西土家族苗族自治州辖七县一市,自然条件差,经济发展缓慢。其中3个属国家级贫困县,5个是省级贫困县(市)。近年来,在计划经济转向市场经济的过程中,处在少数民族贫困地区的农村卫生院举步艰难,有的甚至解体,基层医疗卫生网底面临撕破的危险。如何扭转这种局面,作为农村卫生院需要克服哪些制约自身发展的因素,增强自我发展能力?本文试图通过对32所乡镇卫生院经营状况进行剖析,从中总结经验.寻求出路。 Xiangxi Tujia and Miao Autonomous Prefecture administers seven counties and one city, with poor natural conditions and slow economic development. Among them, 3 are national poverty counties and 5 are provincial poverty counties (cities). In recent years, in the process of shifting the planned economy to a market economy, rural health centers in poverty-stricken ethnic minority areas have made strenuous efforts, some have even disintegrated, and basic medical and health nets are at risk of tearing. How to reverse this situation, as rural health centers need to overcome the constraints of their own development factors, and enhance their self-development ability? This article attempts to analyze the operating conditions of 32 township health centers, from which to sum up experience and seek a way out.