当前，农村卫生事业如何主动与社会主义市场经济接轨，参与市场竞争，使老区乡（镇）卫生院摆脱困境，关键的问题就是人才的竞争。一、调查的范围及对象吉安地区辖13个县（市），有269所乡（镇）卫生院（包括55所中心卫生院），这次调查除269名乡镇卫生院长以外，还调查了24名 At present, rural health undertakings should take the initiative to integrate with the socialist market economy, participate in market competition, and extricate township (town) health centers in the old district from their difficulties. The key issue is the competition for talents. I. SCOPE AND OBJECTS OF THE SURVEY The Ji’an area administers 13 counties (cities) and has 269 township (town) health centers (including 55 central health centers). In addition to the 269 township health directors, the survey also investigated 24 people