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改革前后调查资料表明,试点乡镇合作医疗人群覆盖率增加了53.9%,以县为单位行政村覆盖率增加了18.l%,举办层次以乡办乡管为主,合作医疗资金约占农民年人均收0.97%,并初步形成了“筹资”以个人为主、集体扶持、国家适当支持的格局,门诊受益面提高了63.0%,住院受益面提高了46.l%,医药费实际补偿比门诊达25.6%、住院达22.1%,年人均医药费用支出占年人均收人由原来8.3%下降到6.1%,病人的流向及村民对卫生服务满意度均有明显改善。存在的问题主要是筹资水平低、国家和集体投入不足,科学管理和民主监督有待于加强。跟踪随访,14个县中有7个县运行良好、且个县运行一般、3个县运行中断、3个县未正式运行。
According to survey data before and after the reform, the coverage of pilot rural co-operative medical care has increased by 53.9%, and the coverage of administrative villages by counties has increased by 18. l%, the level of the township-based management of the township-based, cooperative medical funds accounted for about 0.97% per capita annual income of farmers, and initially formed a “fund-raising” to individual-based, collective support, the state appropriate support pattern, outpatient benefit Increased face-to-face ratio by 63.0%, hospitalization benefit increased by 46. l%, actual compensation for medical expenses was 25.6% compared with outpatient visits, 22.1% hospitalization, annual average per capita medical expenses decreased from 8.3% to 6.1% per year, patient flow and villagers Satisfaction with health services has improved significantly. The main problems are the low level of funding, insufficient national and collective investment, and the need for scientific management and democratic supervision to be strengthened. After follow-up, 7 counties in 14 counties were operating well, and the counties were operating normally. Three counties were discontinued and 3 counties were not officially operated.