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80年代以来,我国农村以合作医疗为主要形式的农村卫生保健制度经历了一个曲折的发展过程。就南通县而言,1982年至1992年的10年间,大体经历了三个时期:一是解体时期(1982～1985年) 由于农村经济体制发生变革,集体经济调控能力相对削弱,南通县合作医疗覆盖率从1982年前的100%下降至1985年的14.06%,略高于全国同期5.4%的覆盖率。乡村医生亦由2000余人降至1500余人。二是转折时期(1986～1989年)随着“初级卫生保健”的提出,合作医疗的作用逐渐被人们重新认识。1986年,南通县提出“村
Since the 1980s, the rural health care system in China’s rural areas with cooperative medical care has undergone a tortuous development process. As far as Nantong County is concerned, during the 10 years from 1982 to 1992, it experienced three periods in general: First, during the period of disintegration (1982-1985) Due to changes in the rural economic system, the collective economic control capacity was relatively weakened, and Nantong County Cooperative Medical Care The coverage rate decreased from 100% before 1982 to 14.06% in 1985, slightly higher than the national coverage rate of 5.4% over the same period. The number of rural doctors has also dropped from more than 2,000 to more than 1,500. Second, during the transitional period (1986-1989), with the introduction of ”primary health care,“ the role of cooperative medical care has gradually been reconsidered. In 1986, Nantong County proposed ”Village"