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由于1980年全面的经济改革,中国农村的卫生保健制度正在发生迅速的转变。本文研讨中国农村合作医疗制度的演变,目的在于总结一些不仅对于第三世界而且对发达国家也有价值的经验教训。中国农村保健制度正在发生变化并不是事先计划的,而是由于经济改革对保健的组织、资金和服务的影响的结果。这种影响有些是直接的,有些是间接的,是出乎预料的。因为农村经济改革,集体对合作医疗提供的资金和群众的支持已经减少。享受这项保健制度的农村人口下降50％左右。据1979
Due to the comprehensive economic reforms in 1980, the rural health care system in China is undergoing a rapid transformation. This paper discusses the evolution of China’s rural cooperative medical system, with the aim of summing up some lessons that are valuable not only for the third world but also for developed countries. Changes in the rural health care system in China are not planned in advance, but are the result of the impact of economic reforms on the organization, funding, and services of health care. Some of this impact is direct, some are indirect and unexpected. Because of the rural economic reforms, the collective support for the funds provided by the cooperative medical care and the people has been reduced. The rural population enjoying this health care system has fallen by about 50%. According to 1979