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合作医疗是解决农民医疗保健问题的一种有效途径,并作为我国社会主义市场经济体制中社会保障的重要内容,写入了党的十四届三中全会《决定》。但在基层实践中,合作医疗巩固难的矛盾一直十分突出,试行不久旋即解体的事例大量出现,并且这种曲折反复对合作医疗的重新推广产生了严重影响。本研究根据合作医疗制度的“组织、筹资、服务、补偿”这一基本运行过程和各参与要求,以湖南省部分农村地区民办与停办合作医疗样本为对象,探讨了影响合作医疗稳定性的主要因素和增强稳定性的措施与办法,以期供政府和有关部门决策时参考。
Cooperative medical care is an effective way to solve the problems of farmers’ health care. As an important part of social security in China’s socialist market economic system, it is included in the “Decision” of the Third Plenary Session of the 14th CPC Central Committee. However, at the grass-roots level, the contradiction in consolidating the cooperative medical system has been very prominent. There have been a large number of instances of disintegration soon after the trial, and this kind of tortuous repeated impact on the re-promotion of the cooperative medical system. Based on the basic operation process of the organization, financing, service, and compensation of the cooperative medical system and the requirements for participation, this study aims at the cooperation of privately-run and discontinued medical samples in some rural areas of Hunan Province and discusses the main factors affecting the stability of cooperative medical treatment. Factors and measures to enhance stability, with a view to making decisions for the government and relevant departments.