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为解决农民卫生保健问题,防止因病返贫、因病致穷现象的发生,我区于1993年在岩山乡试行新的合作医疗制度,取得了显著的成绩。但乡镇之间发展不平衡,我们发现主要存在下面几个问题:1.个别乡镇领导对推行合作医疗缺乏科学的认识和充分的信心,认为这是自找麻烦,多一事不如少一事,甚至误认为是卫生院为贪图盈利搞创收的动机。2.农民担心出了钱享受不到应有的权利,好处让领导占,加上报销手续繁琐,积极性不高。
In order to solve the problems of farmers’ health care and prevent the return of poverty due to illness and the occurrence of poverty due to illness, our district conducted a trial of a new cooperative medical system in Yanshan Township in 1993 and achieved remarkable results. However, the unbalanced development between townships and townships has led us to find the following problems: 1. The leadership of individual township leaders lacks scientific understanding and full confidence in the implementation of cooperative medical care. They think that this is asking for trouble. It is better to do more than one thing, or even to mistake. It is considered that the hospitals are motivated to engage in revenue-generating activities for profit. 2. The peasants worry that they will not enjoy the rights they deserved. The benefits will be given to the leaders. The reimbursement procedure will be cumbersome and the enthusiasm will be low.