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民主改革以来,西藏在广大农区实行免费医疗制度。1997年西藏开始在农区开展合作医疗试点工作,提出了在免费医疗框架下建立合作医疗制度的设想。1998年,提出在全区建立农村合作医疗制度的基本原则及实施办法。此后,西藏开始实施以农村合作医疗为模式的公共医疗服务。本文以西藏自治区日喀则南木林县艾玛乡为田野调查点,通过调查,详细了解目前西藏农牧民所享有的基本医疗保障和医疗服务水平,以及农牧民的满意度和有关农村合作医疗在政策措施实施过程中的成功经验和不足之处。
Since the democratic reform, Tibet has implemented a free medical system in a large number of agricultural areas. In 1997, Tibet began piloting cooperative medical services in rural areas and put forward the idea of establishing a cooperative medical system under a free medical framework. In 1998, proposed the establishment of the rural cooperative medical system in the region the basic principles and implementation measures. Since then, Tibet has begun to implement public medical services modeled on rural cooperative medical care. In this paper, Emma Township, Shimen County, Shigatse, Tibet Autonomous Region as a field investigation point, through a survey to understand in detail the basic medical insurance and medical services enjoyed by Tibetan farmers and herdsmen, as well as the satisfaction of farmers and herdsmen, Successful experience and inadequacies in the implementation of policy measures.