推行农村合作医疗相关情况调查分析

目的:农村合作医疗制度是改善农民健康状况的有效手段,本文为合作医疗的推行提供了依据。方法:淮阴县有78万人口,约18万个家庭,我们随机抽取2518个家庭和10575人,统一调查标准。结果:1236户贫困户中因病致贫返贫占69%,2518个农户中愿意参加合作医疗的占81.8%。调查10575人,1996年在各级医院门诊就诊平均约2.4次/人/年,住院占8.9‰,农民中慢性病为45‰。农村门诊病人流向村卫生室65.3%,乡卫生院21.3%,个体诊所16.6%,市以上医院1.6%,县医院1.2%;住院病人乡卫生院51.5%,县医院27.4%,市以上21%。人均年医疗消费75.8元,农民医疗费承受能力在1000元以内占66.2%,1001元～2000元占22.2%,2001元～10000元占11%,1万元以上仅占0.5%。结论:农村合作医疗能够满足农民基本的医疗服务,减轻农民过高医疗消费的负担。

An Investigation on Related Factors for Carrying out Rural Cooperative Medical Care Service (RCMS)

The cooperative medical care system is an effective way of improving farmers' health condition and this paper provides basis for carrying out of cooperative medical-care service. Among the 180 thousand families with 780 thousand people, 2518 families with 105 thousand people were randomly sampled and an unified standords for surveying were used. The result showed ; of the 2518 families 81. 8% of them are willing to join in RCMS and of the impoverished families (n= 1236) these were 69% of people being poor caused by diseases. in the year of 1996.among the surveyed people(w=10,575) those who went to see doctorsCOPD patients) were about 2. 4 times/ person a year and those who were admitted to hospitals amount to 8. 9%o- The rate of chronic diseases was 45%o. The distribution of outpatients was 65. 3% in village clinics,21. 3% in town hospitals, 10. 6% in private clinics,1. 6% in eity hospitals and 1. 2% in county hospitals. The distribution of in-patients was 51. 6% in town hospitals,27. 4% in county hospitals and 21. 0% in city hospitals,the expense of medical care for a farmer was 75. 8 yuan(RMB) a year. The expense of medical service that a farmer can offord annually was below 1000 yuan for 66. 2% of people,at the range of 1001-2000 yuan for 22. 2% of people, at the range of 2001-10,000 yuan for 11% of people and above 10,000 yuan only for 0. 5% of people. One can see that RCMS can meet farmer' s demand for basic medical care service and can protect farmers f rom higher expense for it. Author's address The Burean of Public Health,Huaiyin County,Jiangshu Province.