为了贯彻落实全国和浙江省卫生工作会议的精神,巩固和发展农村合作医疗,我们对全省农村合作医疗作了调查,调查涉及30多个县、市、区及150多个乡镇。调查采用座谈会,民意测验等方法,现将结果概述如下:一、现状1.我省农村合作医疗的历史沿革我省农村合作医疗创建于60年代至70年代中期,当时全省实行合作医疗的行政村曾达90%。80年代初期,随着农村经济体制改革及推行家庭联产承包责任制,集体经济发生了变化,农村合作医疗未能适应新的形势,出现了较大的滑坡,到1988年全省农村实行合作医疗的行政村降至2.4%。1989年,我省在萧山、桐乡、海宁等10个县(市)率先开展了农村初级卫生保健示范工作,并把推行合作医疗作为初级卫生保健工作的一项重点和难点。至1992年10个农村初保示范县(市)的合作医疗均得到巩固和发展,合作医疗覆盖率以行政村为单位在这些县(市)均达到60%以上。 In order to implement the spirit of the national and Zhejiang health work conferences and consolidate and develop rural cooperative medical care, we investigated the province’s rural cooperative medical care. The survey involved more than 30 counties, cities, districts, and more than 150 townships. The survey used seminars, public opinion polls and other methods. The results are summarized as follows: I. Current situation 1. The history of rural cooperative medical care in our province Our rural cooperative medical service was established in the mid-1960s to the mid-1970s, when the province implemented cooperative medical treatment. The administrative village once reached 90%. In the early 1980s, with the reform of the rural economic system and the implementation of the household contract responsibility system for collective production, the collective economy changed, rural cooperative medical services failed to adapt to the new situation, and there was a major downturn. By 1988, the province’s rural areas had implemented cooperation. The medical administrative village dropped to 2.4%. In 1989, our province took the lead in 10 counties (cities) such as Xiaoshan, Tongxiang, and Haining to carry out demonstration work on rural primary health care, and promoted cooperative medical care as a key and difficult point in primary health care work. By the end of 1992, the cooperative medical services in 10 demonstration counties (cities) in rural primary insurance had all been consolidated and developed. The coverage of cooperative medical care in administrative counties has reached more than 60% in these counties (cities).