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通过对 15 90 2名农村居民的调查资料和其它资料的分析 ,明确了当前合作医疗的性质和政策规定 ,了解了广西农村合作医疗的发展历史和当前农民对合作医疗的意愿。农村居民的医疗服务的需求与利用情况为两周患病率16 .2 1%、两周就诊率 2 2 .16 %、慢性病患病率 7.0 1%、年住院率 4.36 % ;明确参加合作医疗的对象必须以户为单位。推算出 1996年农村居民人均医药费支出为 71.75元 ,医药费支出占人均纯收入的 4.2 1% ;确定了参加合作医疗者筹资额为农民人均纯收入的 1.5 %～ 2 %以及医药费的减免 (补偿 )比例为 2 0 %～ 40 %。对合作医疗管理模式进行分析 ,并提出了合作医疗实施方案。
Through the analysis of the survey data and other data of 1,590 rural residents, the nature and policy provisions of the current cooperative medical care are clarified, and the development history of rural cooperative medical care in Guangxi and the current willingness of farmers for cooperative medical care are understood. The demand and utilization of medical services for rural residents was two weeks’ prevalence 16.2 1%, two weeks’ visit rate was 22.16%, chronic disease rate was 7.01%, and annual hospitalization rate was 4.36%; The object must be a household. Calculated in 1996 the per capita medical expenses of rural residents was 71.75 yuan, medical expenses accounted for 4.2 1% of the per capita net income; the amount of funds to participate in cooperative medical care was determined to be 1.5% to 2% of the per capita net income of farmers and the reduction of medical expenses. The (compensation) ratio is 20% to 40%. Analyze the cooperative medical management model and propose a cooperative medical implementation plan.