达县地区地处大巴山区,715个卫生院从1984年起逐步交乡政府管理,绝大多数管理较好,给山区农村卫生院的发展创造了美好的前景。当前,一个十分严重的问题,就是乡卫生院实行个人承包,分散经营。据年初统计约占15％,其中南江高达40％左右。对此,我们在1989年将其纳入治理整顿的内容,从教育入手,逐步加以纠正,引导到集体办医的方向上来。一年来,已经取得初步成效,使乡卫生院个体承包、分散经营下降到6％左右。 Daxian County is located in Daba Mountain. 715 hospitals have been gradually submitted to the township government since 1984. The overwhelming majority of them have good management and have created beautiful prospects for the development of rural health centers in the mountains. At present, a very serious problem is that the township health centers implement individual contracting and decentralized management. According to statistics at the beginning of the year, it accounts for about 15%, of which Nanjiang is about 40%. In this regard, we incorporated it into the content of governance in 1989, starting with education, gradually correcting it, and guiding it to the direction of collective medical treatment. In the past year, preliminary results have been achieved, and the individual contracting and decentralized operations in the township hospitals have dropped to around 6%.