乡、村两级卫生机构担负着防保工作落实到农村基层的主要职责。该文从防保总收入、千人口防保支出、防保开展能力和防保地位指数四个角度探讨了影响乡镇卫生院防保工作的主要因素为乡镇卫生院的药品创收能力和住院能力 ;从乡村医生对防保工作投入时间的角度探讨了影响村卫生室防保工作开展的主要因素为防保工作的经济收益、村卫生室的管理状况和农村居民在转诊过程中对乡镇卫生院的选择率 The township and village health organizations are responsible for the primary responsibility for the implementation of anti-insurance work at the grassroots level in rural areas. This article discusses the main factors influencing the prevention and control of township hospitals from the perspectives of total health-prevention income, prevention expenditure of thousands of people, ability of prevention and protection, and status index of prevention and control of health care in township and township hospitals. From the perspective of rural doctors’ time for investing in prevention work, the main factors affecting the development of prevention and protection work in village clinics are the economic benefits of prevention and protection work, the management status of village clinics, and the health of rural residents in the process of referral to township health. Hospital selection rate