去年底至今年初,笔者有机会参加四川省医院改革调查组,到资阳、峨边、丹棱、广汉四县市进行了为期十五天的调查研究。目前,四县市都有一个比较完善、比较健全的农村四级医疗卫生网;有一支一专多能、能防能治的农村医疗卫生工作队伍,担负着广大农村大量的医疗、预防、保健、计划生育技术指导、爱国卫生、地方病防治任务,为保护广大农民群众身体健康、促进农村经济建设的发展起到了日益重要的作用。但是,从总体上讲,四川的农村卫生事业,同城市比较、同社会经济的发展比较、同人民群众日益增长的医疗卫生服务需求比较,差距越来越大。特别是在商品经济日益发展的今 From the end of last year to the beginning of this year, the author had the opportunity to participate in the investigation team of the Sichuan Provincial Hospital Reform and conducted a fifteen-day investigation and study in the four counties of Ziyang, Ebian, Danling and Guanghan. At present, four counties and cities have a relatively complete and relatively sound rural fourth-level medical and health network; there is a rural medical and health work team that specializes in multi-abilities and can prevent and control, and is responsible for a large number of rural medical care, prevention, and health care. The task of family planning, patriotism, and prevention and control of endemic diseases has played an increasingly important role in protecting the health of the majority of peasants and promoting the development of rural economic construction. However, in general, the gap between rural health undertakings in Sichuan, the comparison with the cities, the development of the social economy, and the increasing demand for medical and health services from the people are growing. Especially in the current development of commodity economy