农村卫生改革面临的深层次的矛盾和问题  

Deep Contradictions and Problems in Rural Health Reform

作　　者：崔春[1] 李秀清[1] 

机构地区：[1]山东省东营市卫生局,山东东营257091

出　　处：《医学与哲学》2004年第3期7-9,22,共4页Medicine and Philosophy

摘　　要：对健康缺失阻碍农村经济发展没有清楚的认识 ,是制约农村卫生发展的重要因素。农村卫生纯属公共品范畴 ,理所当然是政府实现公共服务目标的基本职责。我国财政整体分配格局不合理 ,是农村卫生投入不足的基本原因。农村卫生保健制度一个非常突出的问题 ,是基本模式的选择 ,忽视关键制度的设计与调整。卫生院是医疗服务的提供者 ,是合作医疗保障制度的利益主体 ,同时又是合作医疗的组织者与管理者 ,不符合医疗保障制度的要求 ,同时也难以形成纠错的机制。It is the important factor of restricting rural development that poor health hinders the development of rural economy.Rural health is the basic obligation of government relizing public service goal because of its property of public.It is basic reason of inadequate rural health investment that financial distributive structure is irrational.Choice of basve medel is a problem of rural health care system,ignoring of design and adjustment of key system.Rural township health center is aprovider of medical service and profit subject of medical co-operation safeguard system,meanwhile,it is an organizer and manager of co-operation medicine.It doesn't accord with condition of medical safeguard system,and is difficult to form mechanism of correction mistakes.

关 键 词：农村 卫生改革 矛盾 问题 合作医疗保障制度 卫生院 

分 类 号：R197.62[医药卫生—卫生事业管理]