该文以村卫生室综合优势指标为主线 ,从村卫生室综合优势指标与乡村两级卫生机构的市场份额、经济收益、管理状况、防保工作的开展状况、当地社会经济状况的相互关系五个角度研究乡村两级卫生机构之间关系 ,发现乡村两级卫生机构之间存在激烈竞争 ,而且是一种无序的恶性竞争 ,竞争中处于劣势的乡镇卫生院更加忽视防保工作 This article takes the comprehensive advantage index of the village clinic as the main line, from the comprehensive advantage index of the village clinic to the market share of the rural two-level health institution, economic benefits, management status, development status of prevention and protection work, and local socio-economic status. From the perspective of the relationship between the two levels of rural health institutions, we found that there are fierce competition between the two levels of rural health institutions, and it is a disorderly vicious competition. The township hospitals at a disadvantage in competition are even more ignorant of the protection work.