我们长清县地处济南市西南近郊,有11个乡镇,610个行政村,50万人口。村卫生室610个,有乡村医生949人,卫生员278人,接生员480人。党的十一届三中全会以来,我们以整顿农村卫生室为重点,改革健全了三级医疗卫生网,做到了小病不出村,常见病、多发病不出乡镇,大病不出县。随着农村经济体制的改革,我县曾一度出现有个别村卫生室报酬落实不好,管理不善的情况,群众有一定的反映。针对这一问题,我们深入农村,开展调查研究,发现主要原因是由于原来公社体制的工分制已经取消,乡村医生、卫生员的报酬得不 We are located in the southwestern suburbs of Jinan City in Changqing County. There are 11 townships, 610 administrative villages, and 500,000 people. There are 610 village clinics, including 949 rural doctors, 278 hygienists and 480 birth attendants. Since the Third Plenary Session of the 11th CPC Central Committee, we have focused on rectifying rural health clinics, reformed and improved the three-tier medical and health network, and made it possible to prevent minor diseases from occurring in villages. With the reform of the rural economic system, the county once had the poor implementation of the remuneration of individual village clinics and poor management, and the people had a certain degree of reflection. In response to this problem, we went deep into rural areas and conducted investigations and studies. We found that the main reason was that the original system of the commune’s system of divisions had been abolished, and that rural doctors and hygienists were not paid well.