磐安是浙江省的贫困山区县之一,全县20个乡镇、66500余户,总人口20余万,其中:农民住户为61500余户,农业人口为18.8万,1996年农民人均收入1700余元。目前,农村卫生状况和农民健康保障问题十分突出,因病致贫,返贫现象较为严重。最近,我们对全县合作医疗制度的实施情况作了一次调查,现分析如下。一、调查与分析1.合作医疗解体后农民因病致贫现象突出。由于经济体制的转换,农村合作医疗的解体,部分医疗室变为个体诊所,农民看病又回到了自行付费,患病已成为农民脱贫致富的重要制约因素。据调查:在贫困地区,患病未就诊者达72.6%,应住院而未住院者达89.2%,主要由于经济困难,没有支付能力,有5.5%的家庭因看病而变卖家产。由于 As one of the impoverished mountainous counties in Zhejiang Province, Pan’an County has 20 townships and more than 66,500 households with a total population of more than 200,000. Among them, there are more than 61,500 peasant households, and the agricultural population is 188,000. In 1996, the per capita income of farmers was more than 1,700. yuan. At present, the problem of rural health and farmers’ health protection is very prominent. Because of illness, poverty is a serious problem. Recently, we have conducted a survey on the implementation of the county’s cooperative medical system. The analysis is as follows. I. Investigation and Analysis 1. After the disintegration of the cooperative medical system, the peasants became ill due to illness. Due to the transformation of the economic system and the disintegration of rural cooperative medical care, some medical rooms have become individual clinics, and the farmers have returned to pay for their own medical treatment. Sickness has become an important constraint factor for farmers to shake off poverty and become rich. According to the survey, in poor areas, 72.6% of the patients who did not receive medical treatment and 89.2% of those who were hospitalized but not hospitalized were mainly due to financial difficulties and did not have the ability to pay. 5.5% of households changed their products due to medical treatment. due to