影响各种形式的保健保偿制度健康发展的因素有很多,诸如当地党政领导对这项改革措施的认识和重视程度、群众的经济和心理承受能力、卫生部门的组织和管理能力和水平以及是否有一套行之有效的管理制度等等。但是笔者认为,就目前已经顺利的开展了这项工作的地区和部门而言,保偿制能否健康持久的发展下去,其关键在于能否提供优质的保后服务。由于我国农村生产责任制改变带来的集体经济的削弱、农民健康消费意识的局限性、农村卫生人员技术水平低、管理体制不完善以及70年代以来合作医疗制度解体给农民带来的影响,致使到目前为止仍有相当一部分农民对保偿制持怀疑态度。他们认为保偿制是 There are many factors that affect the healthy development of various forms of health care and reimbursement systems, such as local party and government leaders’ awareness and emphasis on this reform measure, the economic and psychological affordability of the masses, and the organization and management capabilities and levels of the health sector. Is there a well-established management system and so on? However, the author believes that in terms of regions and departments that have successfully carried out this work, the key to the sustainability and long-term development of the reimbursement system lies in whether it can provide high-quality post-guaranteed services. Due to the weakening of the collective economy brought about by changes in China’s rural production responsibility system, the limitations of farmers’ health consumption awareness, the low level of technical skills of rural health workers, the imperfect management system, and the impact of the disintegration of the cooperative medical system since the 1970s on farmers, So far, a considerable number of farmers are still skeptical about the guarantee system. They think that the guarantee system is