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地处四川东南边缘的涪陵地区,辖四县一市,总人口355万,是一个经济基础脆弱、贫穷落后的边远山区。1987年人均工农业总产值495元。在改革开放的新形势下,我们于1989年9月开始在全区逐步推行计划免疫保偿制度。截止1990年底,全区261个乡(镇)全部开展了保偿工作,0～7岁儿童入保240554人,入保率达76.8％,收取保偿金163万多元。实践证明,保偿制拓宽了发展农村卫生防疫事业的思路,为开展初级卫生保健打下了良好基础。一、保偿的条件分析 1.群众的健康观念发生变化。党的十一届三中全会以来,随着农村经济状况的好转,人们
Located in the Qianling region on the southeastern edge of Sichuan, it administers four counties and one city, and has a total population of 3.55 million. It is a remote mountainous region with a fragile economic base and poverty and backwardness. In 1987, the per capita industrial and agricultural output value was 495 yuan. Under the new situation of reform and opening up, we began to implement the planned immunity and reparation system in the region in September 1989. By the end of 1990, all 261 townships (towns) in the region had carried out reparations, and 240,554 children aged 0 to 7 were enrolled, and the insurance coverage rate reached 76.8%, and the premiums received were 1.63 million yuan. Practice has proved that the reimbursement system broadens the thinking for the development of rural health and disease prevention and lays a good foundation for carrying out primary health care. First, the analysis of the conditions of the guarantee 1. The public’s concept of health changes. Since the Third Plenary Session of the 11th CPC Central Committee, people have improved