随着各种形式的生产责任制的实行,农村的办医形式和医疗保健制度发生了演变。到目前为止,大丰县基本上呈现四种医疗保健制度共存的局面。①合作医疗制度;②合防合医制度(又称“二合”,群众每年人均集资2～3元,做为乡医报酬,防保服务、挂号、注射、出诊免费,治病付药费,药差归卫生室,做发展基金);③合防制度(称“一合”,每年人均集资0.5元做为乡医防保服务报酬,医疗费全部自理,医疗收入归乡医个人所有);④分摊行医(相当于个体开业)。四种办医形式中哪种符合多数人的意愿?哪种群众经济负担轻、医疗防保工作质量高?带着这些问题,我们于1989年9月进行全面的调 With the implementation of various forms of production responsibility system, the form of medical treatment in rural areas and the health care system have evolved. So far, Dafeng County has basically presented four kinds of health care system coexistence. 1Cooperative medical system; 2Combined anti-integration system (also known as “two-in-one”), where the average person raises 2~3 yuan per person per year, as a remuneration for the township doctors, anti-insurance services, registration, injections, and visits are free of charge; , Poor medicine is returned to the health room to do development fund); 3 The system of prevention (referred to as “a joint”, the annual per capita fund-raising 0.5 yuan as a remuneration for the rural medical protection services, medical fees are all self-care, medical income is owned by rural medical personnel) ;4 share medical practice (equivalent to individual opening). Which of the four types of medical treatment meets the wishes of the majority? Which types of people have a light economic burden and a high quality of medical protection work? With these problems, we conducted a comprehensive adjustment in September 1989.