郧西县位于鄂西北山区,是全省36个贫困县之一。1987年被国务院确认为革命老区,并同时列入全国重点扶贫县。自1989年开始,我县实行县、乡两级财政预算管理体制,继财权下放之后,1992年县里又将乡镇卫生院人、物、管三权下放乡镇管理。那么,“四权”下放以后,乡镇卫生院建设发展的状况如何呢?为此,我们进行了深入的调查。 Luxi County is located in the northwestern Hubei Province and is one of the 36 impoverished counties in the province. In 1987, it was recognized as an old revolutionary district by the State Council and included in the national key poverty alleviation counties at the same time. Since 1989, our county has implemented a county and township budget management system. Following the devolution of financial resources, the county government managed to relocate people, property, and management of township hospitals to the township in 1992. Then, after the decentralization of the “four rights,” what were the conditions for the development of township health centers? For this reason, we conducted an in-depth investigation.