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一、我市乡镇卫生院存在的主要问题。 1、乡镇卫生院补偿机制尚不完善。根据全市1个乡镇卫生院财务信息统计,1994年亏损的卫生院有4个,占28.97％,业务收支亏损总金额达23万元。其原因:①财政主渠道投入偏低,如1994年,市财政农村卫生事业费83万元(其中防保12万元),占市财政总支出的2.1％左右,与初保要求8％差5.9％,居全区10个县(市)的倒数第四位,乡镇一级卫生事业费投入几乎是零。②“32改”后,乡镇卫生院年工资额平均增长35％,财政预算年递增在4％左右,递增部份仅够当年毕业生工资支出,工资缺口大。③农村三项建设配套资金不落实。“八五”期间省立项的卫生院建设项目7个,市乡两级应配套112万元,仅到位50％,项目建设投入不足部分挂在卫生院帐上,不仅耗尽了卫生院本已不多的积累,还要欠一笔债。
I. Main problems existing in township health centers in our city. 1. The compensation mechanism for township hospitals is still not perfect. According to statistics of financial information of one township health center in the city, there were four health-care hospitals that had suffered losses in 1994, accounting for 28.97% of the total, and the total amount of business losses and losses was 230,000 yuan. The reasons are as follows: (1) The investment in the main channel of finance is low. For example, in 1994, the city’s fiscal rural health service fee was RMB 830,000 (of which RMB 120,000 was for prevention and protection), which accounted for about 2.1% of the total municipal financial expenditure, and was 8% lower than the initial insurance requirement. 5.9%, ranking the fourth lowest count of the 10 counties (cities) in the entire region. The investment in health expenditure at the township level is almost zero. 2 After the “32 reforms”, the annual salary of the township health centers increased by an average of 35%, and the fiscal budget increased by about 4% annually. The increase was only enough for the graduates’ wages and the wage gap was large. 3 The three supporting funds for rural construction are not implemented. During the “Eighth Five-Year Plan” period, there are seven provincial hospital construction projects, and 1.12 million yuan at the city and township level, only 50% of which are in place. Insufficient investment in project construction hangs on the account of the health center, not only running out of the hospital. Not much accumulation, but also a debt.