1. The level of infrastructure construction and equipment of township health centers is still not optimistic. Although vigorously carry out the township health center project construction, part of the township health center infrastructure, hospital appearance has been a big change, but due to long-term investment is insufficient, most of the health center self-development capacity is limited, itself does not have the ability to carry out the equipment renewal and housing renovation, relying only on project funds, built a house, can not afford to buy equipment, some counties (municipalities) and district-level supporting funds are not yet in place. Township health centers and dangerous houses, most of the health centers still lack of equipment, completely change the township health center appearance and equipment backwardness of the task is still very arduous.
2. Survival in the cracks: technical equipment is not as good as the upper - county-level hospitals and above, and flexibility is not as good as village health centers, such as price, credit, familiarity, etc. .
3. Ineffective mechanism and poor management. Some health centers still follow the employment mechanism and distribution methods of the planned economy period, and the enthusiasm and initiative of the employees are not given full play. Some county-level health administrative departments have neglected to provide guidance on the operation and management of township health centers, which to some extent has affected the construction and development of township health centers. There is a surplus of personnel and a shortage of truly capable ones.
4. Township health center personnel, business, funding and other upward management is not thorough and financial subsidy policy, to solve the retired staff funding and other aspects of the measures are not strong enough, the enthusiasm is not yet high. Some counties (cities) and districts of township health centers of rural health care budget not only did not increase but has declined, belonging to the financial ensure disease control, health supervision, maternal and child health care and health education and other social public **** health funding is still seriously inadequate. Financial inputs, standards vary from place to place, here is not a penny allocation, said to be up to the county management, not as good as the original township management it, get around, it can be said that the health center is no one to manage the unit.
5. Salary and welfare benefits are less, some of the regular college graduates have to cope with a variety of exams, forms, continuing education and so on.
6. Non-prescription drugs can be sold in pharmacies at any time, without obtaining a physician's qualification, but can write prescriptions. Administration I don't know how many directors of health centers are elected now, most are appointed by the health bureau.
7. The township health centers are located in the "money-making and self-supporting" of a medical institution, rather than the rural public **** health institutions to undertake primary health care in rural areas, disease control and health supervision, as well as the management of the village health clinics and rural doctors. At the same time, some functional departments always set the construction of township health centers on "improving the capacity and level of medical services", putting forward unrealistic development goals and requirements, while losing the public **** health functions that township health centers should have. This misdirection has brought the wrong message that "township health centers are money-making, and the reason why they are not good is because they lack the ability to make money", which has further increased the neglect of township health centers' public **** health functions and made it more difficult for them to get out of their predicament.