一、困难原因困境之一:乡镇经济发展缓慢,乡级财政收入困难,地方对乡镇卫生院投入不足,尽管绝对数有所增加,但相对数呈下降趋势。其人员经费增加抵销或超过了农村卫生事业费增长速度,而且少数乡镇截留卫生事业费,集资摊派挤占卫生事业费,医疗欠费占用卫生事业费。由于投入减少,开支增大,卫生院入不敷出,难以为继。 I. Difficult reasons One of the difficulties: The economic development of towns and townships is slow, the township financial income is difficult, and local governments have insufficient investment in township health centers. Although the absolute number has increased, the relative number has shown a downward trend. The increase in its personnel expenses offsets or exceeds the growth rate of rural health service fees, and a small number of towns and villages cut back on health expenses, apportioned funds to apportion health expenditures, and medical arrears occupy health expenses. Due to the reduction in investment, expenditures have increased, and health centers have been unable to make ends meet.