当前农村集资医疗对初级卫生保健的作用研究

• 作 者: 林子华 郝模 朱乃苏 沈杰
• 机 构: 上海医科大学卫生管理培训中心,
• 出 处: 中国社会医学
• 发表日期: 1990年06期
• 关键词: 集资医疗 医疗制度 卫生保健 相关指标系 卫生保健需求 logistic 回归 自费医疗 东四省 回归分析 卫生服务利用

我国农村集资医疗覆盖率很低,总结现存的各种集资医疗制度,对农村初级卫生保健的作用和地位,对“2000年人人享有卫生保健”战略目标的实现有其重大意义。本文从医疗需求量入手,通过对华东四省8000余户农民家庭成员的调查,进一步论证了当前集资医疗对农村初级卫生保健(村、乡)需求有着各方面的积极作用。同时也提示了集资医疗从总体上讲还是低层次的,未能从根本上解决农民疾病经济风险的忧患。

China’s rural fund-raising coverage rate is very low. It sums up the existing various fund-raising medical systems, the role and status of primary health care in rural areas, and has great significance for the realization of the “2000 health care for all” strategic goal. This article begins with the demand for medical care, and further investigates the current positive role of fund-raising in rural primary health care (villages, townships) in rural areas through the investigation of more than 8,000 farmer family members in four provinces in East China. At the same time, it also indicates that the fund-raising medical care is generally low-level and fails to fundamentally solve the concerns of the farmers’ economic risks.