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农村合作医疗改革方案虽是在县级水平,但具体实施是在各乡镇,各乡镇由于经济水平的不同,具体的管理也有一定的差别,由此也会对结果产生影响。通过三个乡镇的卫生服务需要和利用比较分析结果表明:经济水平处于中等的东元乡其患病后的就诊比例在三个乡中最高,其未住院率和未就诊率均最低。经济水平的不同与未就诊率、未住院率之间未见联系。政府的重视与支持、风险金的使用能够更好地保证农民卫生服务需要得到满足。
Although the rural cooperative medical reform plan is at the county level, the specific implementation is in each township. Because of the different economic levels of the townships, the specific management also has some differences, which will also have an impact on the results. Through the comparison of the health service needs of three townships and the use of comparative analysis, it is shown that the proportion of doctors attending Dongyuan Township with a moderate economic level is the highest among the three townships, and the rates of non-hospitalization and non-consultation are the lowest. There was no link between the difference in economic level and the rate of non-visiting and non-hospitalization. The government’s attention and support and the use of risk funds can better ensure that farmers’ health services need to be met.