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我国农村正式出现具有保险性质的合作医疗保健制度,是在农业合作化高潮的1955年,山西、河南、河北等省农村出现了一批由农业生产合作社举办的保健站。当时的基本做法是:①在乡政府领导下,由农业生产合作社、农民群众和医生共同筹资建保健站;②在自愿的原则下,每个农民缴纳几角钱保健费,免费享受预防保健服务及免收挂号费、出诊费、注射费(免“三费”);③保健站挂号治病、巡回医疗,医生分片负责所属村民的卫生预防和医疗工作;④保健站经费来源主要是农民缴纳保健费、农业社公益金提取和业务收入(药品利润);⑤采取记工分与发现金结合的办法解决保健站医生报酬。上述做法就是所谓的“合医合防不合药”的合作医疗。
In our country, the formal emergence of a cooperative medical insurance system with insurance in nature was the culmination of agricultural cooperation in 1955. A number of health stations run by agricultural cooperatives appeared in the rural areas of Shanxi, Henan and Hebei provinces. At that time, the basic approach was as follows: (1) Under the leadership of the township government, the health care cooperatives and peasant masses and doctors jointly financed the construction of health stations; (2) On the principle of voluntariness, each peasant paid a few cents health care fees and enjoyed free preventive health care services And free registration fee, visit fee, injection fee (free “three fee ”); health care station registered medical treatment, road medical treatment, the doctor is responsible for the sub-slice of the villagers health prevention and medical work; Is the farmer to pay health care fees, agricultural community welfare fund extraction and business income (pharmaceutical profits); ⑤ to take note of workers and found that gold combined approach to solve the health care station doctor compensation. The above approach is the so-called “medical and non-drug” medical cooperation.