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从山西省长治市来说,长子县是一个人口较多,农业人口比重较大的县,全县23个乡镇,399个行政村。1991年,全县总人口32.8万人,其中农业人口占90.8%,农民人均纯收入只有462元,属温饱型。在这样一个农业人口较多,经济又比较落后的地区,如何有效地解决广大农民群众的医疗、预防、保健租因病致贫的问题呢?长子县委、县政府根据长治市统一规划,于1986年启动了初级卫生保健这个宏大的社会系统工程,在这个基础上,1990年全县适时推行了合作医疗保健制度,在实施这一工作的过程中,又侧重于合作医疗保健制度支持体系的研究和实践,促进了全县整个农村卫生改革的深化。
From Changzhi City, Shanxi Province, Changzi County is a county with a large population and a large proportion of agricultural population. There are 23 townships and 399 administrative villages in the county. In 1991, the county’s total population of 328,000 people, of which the agricultural population accounted for 90.8%, the per capita net income of farmers was only 462 yuan, is a type of food and clothing. In such an area with a large agricultural population and a relatively backward economy, how can we effectively solve the problem of the peasants’ medical, preventive, and health-related poverty caused by rent-related diseases? The eldest county party committee and county government unified planning in accordance with Changzhi City in 1986. In this year, the grand social system project of primary health care was launched. On this basis, the county implemented the cooperative medical care system in due course in 1990. In the process of implementing this work, it focused on the research of the supporting medical health care system. And practice has promoted the deepening of the whole rural health reform throughout the county.