乡镇卫生院的自主经营问题,其核心就是自负盈亏。因为自主经营如果不谈盈亏,不承担盈亏责任,自主经营就成为一个抽象的概念。那么,乡镇卫生院在自主经营中能否自负盈亏?负盈已毋需赘述,负亏则很有争议。乡镇卫生院在转换经营机制,适应社会主义市场经济的过程中,不解决这个关键性问题,就难以成为自主的经营者。要解决这一问题,不仅需要从理 The core issue of township health centers is to assume responsibility for their own profits and losses. Because if we do not talk about profit and loss, we will not assume responsibility for profits and losses, and self-management will become an abstract concept. Then, whether township health centers can assume their own profits and losses in their own operations, negative balances are no longer needed, and negative losses are controversial. In the process of transforming the operating mechanism and adapting to the socialist market economy, the township health centers cannot solve this key problem and cannot become independent operators. To solve this problem, not only need to understand