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我市地处里下河地区,全市共有33个乡镇,总人口83万,其中农业人口67.3万。从1987年开始在全市推广“以乡统筹、大病合作”(以下简称“大病合作”)风险型医疗保健制度,参加人数和筹资标准随着农民的需求和当地经济发展水平逐年有所提高,1994年底有27个乡镇实行,农民参加人数53.6万人,占全市农业人口的79.62％,共筹资金137.97万元,实际受益人数6755人。目前这种风险型合作医疗保健制度已成为我市农村医疗保健制度的主体。根据几年来的实践,现将这一制度的具体做法和效果介绍如下:
The city is located in the Lixiahe region. There are 33 townships in the city, with a total population of 830,000, of which the agricultural population is 673,000. Since 1987, the city has promoted the risk-based health care system of “coordinating rural areas with major diseases and cooperating with each other” (hereinafter referred to as “great disease cooperation”). The number of participants and funding standards have increased year by year with the needs of farmers and the level of local economic development. 1994 At the end of the year, 27 townships and villages were implemented. The number of farmers participating in the project was 536,000, accounting for 79.62% of the city’s agricultural population. The total amount of funds raised was 1.3797 million yuan, and the actual number of beneficiaries was 6,755. At present, this risk-based cooperative health care system has become the main body of the rural health care system in our city. According to the practice over the past few years, the specific practices and effects of this system are now described as follows: