CAJ | 학술논문

乡镇卫生院是农村三级医疗保健网络的枢纽和中坚，在农村医疗、医疗预防及公共卫生服务等方面起着举足轻重的作用，在新医改政策中，分配制度的改革关系到广大医务工作者的切身利益，也是新医改工作的重点。本文通过以广东省阳江市阳东县10间乡镇卫生院为研究对象，结合分配制度和“收支两条线”、“药物零差价”等改革措施，以查看资料及问卷调查方式，对乡镇卫生院分配制度改革后现状进行剖析，了解卫生院广大医务人员和群众对本次改革的认知和满意度，针对存在的问题进行分析，对现行分配制度更进一步提出建议。
향진위생원시농촌삼급의료보건망락적추뉴화중견，재농촌의료、의료예방급공공위생복무등방면기착거족경중적작용，재신의개정책중，분배제도적개혁관계도엄대의무공작자적절신이익，야시신의개공작적중점。본문통과이광동성양강시양동현10간향진위생원위연구대상，결합분배제도화“수지량조선”、“약물령차개”등개혁조시，이사간자료급문권조사방식，대향진위생원분배제도개혁후현상진행부석，료해위생원엄대의무인원화군음대본차개혁적인지화만의도，침대존재적문제진행분석，대현행분배제도경진일보제출건의。
The township health center is the hub and backbone of the rural three-level health care network. What’s more,it plays a very important role at many aspects,including rural medical,medical prevention and public health service. In the policy of health care reform,the reform of the distribution system, which is directly related to vital interest of the whole medical workers,is a the key to the works of the new health care reform. By taking 10 township health centers of YangDong Town,YangJiang City,GuangDong Province as the object of study,this paper combines the distribution system with many reform measures, such as Two line of income and expenses and Drug zero difference,and so on. To view the data and questionnaire,this paper analyzes the current situation after the reform of distribution system of towns and townships,and tries to understand the cognition and satisfaction of medical workers and the masses to this reform. According to the analysis of existing problems,it puts forward further suggestions for the existing distribution system.