1 合作医疗的发展历程为引入保险机制打下基础 金山县农村合作医疗制度始建于60年代末,在早期阶段,农民只缴少量基金,享受限额报销,最多不超过本人基金的10倍。由于管理方面比较粗放,年终基金亏空现象为数不少。以后,在各级政府领导和卫生部门积极参与配合下,合作医疗的完善、发展经历了四个阶段。 80年代中期起,各乡(镇)相继建立合作医疗管理站,实施“村办乡管”,基金筹集用“以支定收”方 1 The development course of cooperative medical care lays the foundation for the introduction of insurance mechanism The rural cooperative medical system in Jinshan County was established in the late 1960s. In the early stage, farmers only paid a small amount of funds and enjoyed limit reimbursement, up to a maximum of 10 times that of their own funds. Due to the relatively extensive management, there are a number of year-end fund deficits. Later, under the active participation and cooperation of government leaders and health departments at all levels, the improvement and development of cooperative medical care have gone through four stages. Since the mid-1980s, all townships (towns) have successively established cooperative medical management stations and implemented “village-run township management,” and fund-raising uses “accepted collections.”