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通过对武穴、巫溪及宁国、岳西4县(市)807户农民家庭调查分析,发现农村正进入老龄化社会,赡养系数高,农民的生活水平低下,经济困难仍是农民应住院而未住院的主要原因之一;农民对合作医疗认可度较高,而加强基金管理是农民最关心的问题;认为要正确处理抗风险与受益面的关系;在宣传动员、组织管理中,要有农民代表参与,充分发挥村委会、乡镇卫生院等部门的作用;家庭外出流动人口增多对传统合作医疗提出了新的挑战。
Through investigation and analysis of 807 households of farmers in Wuxue, Wuxi, Ningguo and Yuexi counties (cities), it was found that rural areas are entering an aging society, the coefficient of support is high, the living standards of farmers are low, and economic difficulties are still that farmers should be hospitalized. One of the main reasons for non-hospitalization is that farmers have a high degree of recognition of cooperative medical care, and strengthening fund management is a major concern for farmers; they believe that the relationship between risk-resistance and beneficiary needs to be properly addressed; in propaganda and mobilization, organization and management, there must be Peasant representatives participated in and gave full play to the role of village committees, township and township hospitals, etc. The increase in the number of migrants moving out of the family raised new challenges for traditional cooperative medical care.