当前中国贫困农村卫生服务中存在的主要问题是:卫生资源缺乏,农民,特别是贫困农民的基本医疗保健服务无保障,预防保健服务覆盖面下降,乡村卫生人员工资支付困难等。针对上述问题,本文提出了确定农村基本卫生服务的内容及费用,建立基本医疗保健服务基金,控制药品使用及费用,减少卫生资源浪费,改革医疗服务付费办法及卫生人员工资制度,加强农村卫生服务的领导、规划及监督等农村卫生改革的策略。 The main problems existing in China’s current impoverished rural health services are: lack of health resources, inability of basic health care services for farmers, especially poor farmers, declining coverage of preventive health care services, and difficulty in payment for rural health workers. In response to the above issues, this paper proposes to determine the content and costs of rural basic health services, establish a basic health care service fund, control the use and costs of medicines, reduce the waste of health resources, reform medical service payment methods and wage system for health workers, and strengthen rural health services. Leadership, planning and supervision of rural health reform strategies.