四川推行的新型农村合作医疗试点取得了初步成效,同时也存在着许多的问题,特别是各筹资主体负担的比例不合理。目前,在农村医疗合作制度的模式选择上必须慎重,中央政府在合作制度中应承担更多的责任,应积极引导和支持将社区作为一个单独的筹资主体,在地方筹资中则应以省级财政承担主要责任,同时还应出台与农村税费改革配套的卫生经济政策。 The pilot project of the new rural cooperative medical system implemented in Sichuan has achieved initial results. At the same time, there are also many problems. In particular, the proportion of the fund-raising subjects is unreasonable. At present, the mode of rural medical cooperation system must be carefully selected. The central government should assume more responsibilities in the cooperation system. It should actively guide and support the community as a separate fund-raising main body, and in the local fund-raising should be provincial-level. The primary responsibility for finance is to bear, and at the same time, a health economic policy that is complementary to rural tax and fee reform should be introduced.