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乡级卫生院防保组管理体制问题,全国没有一个相对稳定的模式。不少地区开始探索建立乡级独立体制,但仍以“乡级卫生院内设防保组”为主要形式,两种体制各有千秋。笔者认为,在现阶段乡级卫生院内设防保组的防保体制是适应国情的。乡镇防保组是县级防保组织职能部门的延伸和补充,人员来自基层,工资由国家直接扶持,行政上接受乡镇政府和卫生院的双重领导,业务受县职能部门的直接领导。国家在工资等基本需求上支持,是这支防保队伍得以存在和工作专业化的有力保证;乡镇政府和卫生院的行政领导,又为解决在开展工作中权威不足,技术力量不足等问题提供了有利条件。
There is not a relatively stable pattern in the country’s health protection group management system. Many areas began to explore the establishment of a township-level independent system. However, the main form of the “hoard-level prevention and protection units in township-level health centers” is still the main form. Both systems have their merits. The author believes that at the present stage, the prevention and protection system for the prevention and protection group within the township hospitals is adapted to the national conditions. The township prevention and protection group is an extension and supplement of the functional departments of the county-level anti-insurance organizations. The personnel are from the grassroots level, the wages are directly supported by the state, and they are dually led by the township government and the hospital. The business is directly led by the county functional department. The support of the state on basic needs such as wages is a strong guarantee for the existence and professionalization of this anti-insurance team; the administrative leaders of township governments and health centers also provide issues such as inadequate authority and insufficient technical strength in the implementation of work. The favorable conditions.