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江苏省南通县县委、县政府领导层在统一认识的基础上,强化了领导,采取了措施,经过半年多时间的艰苦努力至1991年6月底止,全县办起了合作医疗的村由1989年底的14.l％上升到91.3％。村卫生室、乡村医生的管理也得到了加强。带动了乡村医生走集体办医的道路,巩固了集体办村卫生室,使预防保健工作得到了落实。但是,在实践中,我们也发现由于有些地方选择合作医疗模式不当和没有科学地测算经费,影响了合作医疗的巩固。所以选择适当的合作医疗模式,以及科学地测算合作医疗经费,关系到合作医疗的推行、巩固和发展,这是一个值得认真探讨的问题。
The leadership of the Nantong County Party Committee and County Government in Jiangsu Province strengthened leadership and adopted measures based on a unified understanding. After more than six months of hard work until the end of June 1991, the county set up a cooperative medical village 1989. The 14.1 percent at the end of the year rose to 91.3 percent. The management of village clinics and village doctors has also been strengthened. This led the rural doctors to take the road of collective medical treatment and consolidated the village clinics to ensure the implementation of preventive health care. However, in practice, we also found that due to the improper choice of cooperative medical treatment in some areas and the lack of scientific calculation of funds, the consolidation of cooperative medical services was affected. Therefore, choosing a suitable cooperative medical model and scientifically measuring cooperative medical expenses is related to the promotion, consolidation, and development of cooperative medical care. This is a question worthy of serious discussion.