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文章通过7省14个县合作医疗试点研究认为，经济发展水平与合作医疗制度的建立无明显关系，经济水平的高低主要表现在筹资水平和补偿比差异。影响合作医疗的主要因素是：宏观政策和当地党政领导的重视程度，群众对合作医疗的认识和受益，国家和集体资金的引导和扶持，费用控制和服务质量以及帐目公开、村民监督。在此基础上提出了合作医疗操作的基本规范。
According to the pilot study of cooperative medical services in 14 counties in 7 provinces, the level of economic development is not significantly related to the establishment of a cooperative medical system. The level of economic performance is mainly reflected in differences in funding levels and compensation ratios. The main factors that affect cooperative medical care are: macroeconomic policies and the importance of local party and government leaders, the public’s understanding and benefits of cooperative medical care, guidance and support of state and collective funds, cost control and service quality, and disclosure of accounts and supervision of villagers. Based on this, the basic norms of cooperative medical operations are proposed.