从中国农村公有制的社会基础,科学文化的发展水平,以及农村现实经济情况出发,研究农村居民的卫生服务需求,开发卫生资源,建设具有中国特色的村级卫生组织,对于实现中国卫生事业发展的战略目标,具有十分重要的意义。 1.村卫生室的设施与领导管理体制。在中国,各级政府对人民健康承担责任。1986年中共中央关于“七五”计划的建议中提出,“七五”期间要“增加医疗保健设施,完善城乡三级医疗保健网”。“七五”计划还规定要“继续贯彻预防为主的方针,普及卫生知识,改变卫生面貌。1990年争取80％的农村人口饮用安全卫生水,使全国计 From the social foundation of China’s rural public ownership, the level of development of science and culture, and the actual economic situation in rural areas, study the needs of rural residents for health services, develop health resources, and build village-level health organizations with Chinese characteristics for the development of China’s health undertakings. Strategic goals are of great significance. 1. Facilities and leadership management system in village clinics. In China, governments at all levels are responsible for the health of the people. In 1986, the CPC Central Committee’s proposal for the “Seventh Five-Year Plan” proposed that during the “July 5th” period, it was necessary to “increase medical and health care facilities and improve the urban and rural tertiary medical and health care network”. The “Seventh Five-Year Plan” also stipulates that “we must continue to implement the principle of prevention, popularize health knowledge, and change the health status. In 1990, 80% of the rural population had to strive to drink safe and healthy water, so that national