娄底地区的地、县(市)妇幼保健机构普遍开展了有偿服务工作,显示了令人信服的社会效益和经济效益。但是,也一度出现了重临床、轻保健,重有偿、轻无偿,重站内、轻基层的倾向。主要表现为“三多三少”,即:抓临床和有偿服务的人多,抓保健和无偿服务的人少;抓保健工作的新手多,业务骨干少;站(所)领导抓临床和有偿服务的时间多,抓基层保健工作的时间少。由于放松了对基层保健工作的管理,有 The prefectural and county (city) MCH institutions in Loudi Prefecture carried out paid services in general and showed convincing social and economic benefits. However, there was also a tendency of re-clinical care, light-weight care, reimbursement of pay, lightness of remuneration, and emphasis on the grassroots inside and outside the grassroots. Mainly for the “more than three less”, namely: clinical and paid services to catch more people, pay less attention to health care and gratuity; grasp novice health care workers, fewer business backbone; More time for service, grass-roots health care less time. Because of the relaxation of the management of primary health care, there is