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文章根据山东省合作医疗发展对策研究调查资料，对省内合作医疗地区与自费医疗地区群众的医疗需求、服务利用及自我承担费用等项目进行了比较性分析。结果显示：两组人群的医疗需要无显著性差异。合作医疗对门诊利用没有影响，对住院利用在经济中、低两层的影响有显著性差异，合作医疗医疗组的住院利用率高于自费医疗组（ｐ＜０．０１），且合作医疗组人群到乡镇卫生院住院次数也高于自费医疗组（ｐ＜０．０１）。两组在门诊费用上未见显著性差异，但在住院费用上经济水平低的地区，合作医疗组的次均住院费用为７５６．９５元，而自费医疗组为１８７５元，两组有显著性差异（ｐ＜０．０５）。文章提出加大筹资金额、提高保障水平等相应发展对策。
According to research data of Shandong province’s cooperative medical development countermeasures, the article compares the medical needs, service utilization, and self-bearing costs of the province’s co-operative medical districts with those of the self-financed medical districts. The results showed that there was no significant difference in medical needs between the two groups of people. Cooperative medical care has no effect on the use of outpatient services, and there are significant differences in the impact of hospitalization on the economical and lower levels. The hospitalization utilization rate of the cooperative medical care group is higher than that of the self-financed medical group (p<0.01), and the cooperative medical group The number of hospitalizations for residents from township hospitals was also higher than that in the self- paid medical group (p<0.01). There was no significant difference between the two groups in the outpatient expenses. However, in the areas with low economic level of hospitalization expenses, the average hospitalization cost of the cooperative medical group was 756.95 yuan, and the self-paid medical group was 1875 yuan. The two groups were significant. Difference (p<0.05). The article proposes corresponding development measures such as increasing the amount of funds raised and raising the level of protection.