试论合作医疗的经验和教训

THE EXPERIENCES AND LESSONS OF COOPERATIVE MEDICAL SERVICE

本文认为导致中国农村合作医疗保健制度由兴至衰的主要原因是:政策和舆论导向失误;缺乏法律和法规的保障;管理体制不完善。通过总结合作医疗的历史经验和教训,作者认为:合作医疗是适合中国国情的保证农民健康的正确道路,必须坚定不移地走下去;应将合作医疗纳入社会发展规划,以适应社会经济改革的新形势;应大力引导农民参与合作医疗;各级政府和全社会应对合作医疗给予大力支持;要建立健全科学的合作医疗管理制度;要有一支稳定的乡村医生队伍,以保证合作医疗的实施。

The article concluded that the main reasons that Chinese rural cooperative medical service went declining: mistaken guidence of policy and public opinion; lack of guarantee from law and regulations and unperfective ad-minstrative system. Having summed up the historical experiences and lessons of the cooperafive medical service , the author concludes that the cooperative medical service is the correct road which suits with the condition of our country which can ensure the health of the peasants and we must go forward along it. The coorative medical service should be taken into social develop ment programme to be in compliance with the new situation of social and economic reformation. Peasants should be faught to playtheir roles in cooperative medical service. Cooperative medical service needs strong support from the government and the whole society. An overall scientific administrative system should be established. At the mean time, to reinforce the cooperafive medical service, a stable rural doctor battalions is needed.