四川古蔺县农村合作医疗试点基线资料分析

Baseline trial analysis of cooperative medical system in poor rural Gulin County, Sichuan

该文报告在国家级贫困县四川古蔺进行的合作医疗试点基线调查结果，报告显示贫困地区的三级卫生网络基本健全，乡村医生的业务量比较充足；而乡镇卫生院经费补偿不足，达到机构瘫痪的地步；村民对医疗服务的利用不足。贫困地区具备了开展合作医疗的主观和客观的可行性，但筹资的水平很低，开展合作医疗要以基本医疗为主。

We report the baseline survey results of rural cooperative medical system (RCMS) trial held in national-grade poor Gulin County, Sichuan. The poor county has a integreted three-level health network with sufficient quantities of village doctor services.The hospitals in town met a living crisis because of insufficient running funds compensation, and medical services used by the villigers were limited. Our results show that the poor rural connty has the subjective and objective feasibility to set-up RCMS with much lower financing level.The RCMS running must mainly based on the elementary medical services.