农村实行生产责任制以后,合医合药制度受到严重冲击。苏北地区从自己的实际出发,创立了新的办医模式。这一模式具有“坚持集体、村办乡管、重防能治”等鲜明的特色。由于它基本适应农村经济体制变革、适应农民的承受能力、适应现行卫生工作政策,因而迅速发展,在农村卫生工作中发挥了重要作用。只要切实加强管理,健全约束机制,农村医疗制度改革的路子必然越走越宽。 After the implementation of the production responsibility system in rural areas, the system of medicinal and pharmaceutical drugs was severely impacted. The northern Jiangsu area set out from its own reality and created a new mode of operation. This model has distinctive features such as “sticking to the collective, village management, and prevention of energy management.” Because it basically adapts to changes in the rural economic system, adapts to the affordability of farmers, and adapts to existing health work policies, it has developed rapidly and has played an important role in rural health work. As long as the management is strengthened and the restraining mechanism is perfected, the path of rural medical system reform will inevitably go wider and wider.