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上海市宝山区是城乡一体化区域,目前,尚有近20万农民。随着城乡建设的发展,农民的生活水平和卫生需求不断增加。但就整体而言,农民还属于低收入群体,其医疗保障问题更为突出。据宝山区民政局1995年对农村贫困户调查,其中64.4％是“因病致贫”的。农村卫生的主要问题是卫生服务的可及性及提供医疗保障不足。近几年,宝山区加强了农村卫生基本建设,完善了合作医疗制度,使农民得到了基本卫生服务。
Baoshan District in Shanghai is an integrated urban and rural area. At present, there are nearly 200,000 farmers. With the development of urban and rural construction, the living standards and health needs of farmers are constantly increasing. However, as a whole, farmers still belong to low-income groups, and their medical security issues are more prominent. According to a survey conducted by the Baoshan District Civil Affairs Bureau in 1995 on rural poverty households, 64.4% of them were “due to poverty due to illness”. The main problems in rural health are the availability of health services and the lack of medical care. In recent years, Baoshan District has strengthened the rural health infrastructure, improved the cooperative medical system, and provided farmers with basic health services.