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旨在解决农民医疗保障问题的合作医疗发展步履艰难,本文通过分析30个调查点农户对发展合作医疗的态度。指出经济、社会、年龄、健康状况等因素影响着人们对合作医疗发展的预期;农户低筹资高补偿的矛盾心理、农户和政府对筹资比例期望值的差异、集体经济弱化与合作医疗需集体资金支持以及筹资困难和农户报销困难等矛盾共同制约着合作医疗的发展;只有构筑良好的经济和社会氛围才能促进农村合作医疗的发展。
The development of cooperative medical care that aims to solve the problems of farmers’ medical security has been difficult. This paper analyzes the attitudes of farmers at 30 survey points on the development of cooperative medical care. It is pointed out that factors such as economy, society, age and health affect people’s expectations for the development of cooperative medical care; the ambivalence of low-funded high compensation for farmers, the difference in the expected value of fund-raising ratio between farmers and the government, the weakening of collective economy and the need for collective funding support for cooperative medical treatment Problems such as difficulties in fundraising and difficulty in reimbursement by farmers jointly restrict the development of cooperative medical care; only by building a good economic and social atmosphere can the development of rural cooperative medical care be promoted.