农村贫困地区合作医疗试验的回顾与思考

Review of and reflection on the experiment of cooperative medical car e in distressed rural areas

在联合国儿童基金会等国际组织支持下，卫生经济网络在全国8省10县进行了5年多种形式合作医疗实验研究。本文对其中2 076户8 141人进行了调查，其按人计参保率达73．7%。在参加合作医疗的农户中，有54．6%获得补偿，38．9%的农户认为减轻了经济负担，43．3%农户认为就医更方便了，41．5%的人认为合作医疗服务质量提高。与对照组比较认为合作医疗能为社区居民提供医疗卫生保障，减轻其经济负担，提高了卫生服务利用。

With the support of international organizations like the United Nations Children's Fund, the Health Economy Network conducted a five－year experimental study of various forms of cooperative medical care in 10 counties involving 8 provinces of the country. The paper reports the results of a survey of 8 141 persons from 2 076 households. The rate of insurance coverage of individuals reached 73.7%. Among the peasant households that participated in cooperative medical care, 54.6% received compensations, 38.9% thought that their economic burdens had been lightened, 43.3% thought that it was more convenient now to seek medical service, and 41.5% thought that service quality had been improved as a result of cooperative medical care. Comparison with the control group indicates that adoption of cooperative medical care can provide community residents with medical and health security, lighten their economic burdens and enhance the utilization of health services.