随着社会主义市场经济的确立、农村多种办医形式的并存和竞争,给乡镇卫生院带来严峻的挑战和机遇。卫生院怎样在激烈的竞争中求生存、求发展?笔者认为:《中共中央、国务院关于卫生改革与发展的决定》(下称《决定》),已经明确了卫生改革的目的和指导思想,强调了要把卫生工作的重点放到农村去,健全农村三级医疗预防保健网,巩固乡 With the establishment of the socialist market economy and the coexistence and competition of various forms of medical treatment in rural areas, it has brought severe challenges and opportunities to township health centers. How do hospitals strive for survival and development in fierce competition? The author believes that: “The decision of the CPC Central Committee and the State Council on health reform and development” (hereinafter referred to as the “decision”) has clearly defined the purpose and guiding ideology of health reform and emphasized We must put the focus of health work on rural areas, improve rural tertiary medical care and prevention health nets, and consolidate rural areas.