建阳县地处闽北山区,全县有13个乡(镇),187个行政村,原有187个合作医疗站,自农村实行联产承包责任制后,合作医疗制度已解体,有的承包给乡医、卫生员,有的把医疗站房屋出租或出售,或当作企业投标上交利润,加上管理不善,随之出现医疗质量下降,防疫保健,计生工作无法落实,收费标准混乱,甚至有的出售过期失效伪劣药品等问题,针对农村卫生秩序杂、乱、差的状况,建阳县于1989年5至6月对全县村级医疗机构进行了一次全面的清理整顿,现将主要做法介绍如下: 一、统一思想、统一部署。1989年4 Jianyang County is located in the mountains of northern Anhui. There are 13 townships (towns) and 187 administrative villages in the county. The original 187 cooperative medical stations have been dismantled since the implementation of the contracted responsibility system for joint production in rural areas. Contracted to rural doctors and health workers, some rented out or sold medical station homes, or as corporate profits submitted to tenders, coupled with poor management, resulting in declining medical quality, epidemic prevention and health care, family planning work cannot be implemented, and fee standards are confusing. Some problems such as the sale of expired and shoddy and inferior drugs, and the situation of miscellaneous, chaotic, and poor health in rural areas, Jianyang County conducted a comprehensive rectification of the county-level medical institutions from May to June 1989. The main practices are as follows: 1. Unified thinking and unified deployment. 1989 4