我国首创和实施的合作医疗保健制度对保护农村居民的健康曾经起到了重要的作用,对全球范围内初级卫生保健的提出也产生了重要影响~([1]),但由于种种原因,进入80年代和90年代初期,合作医疗事业在许多地区出现回落。1996年12月召开的全国卫生工作会议提出,要在农村继续积极稳妥地发展和完善合作医疗保健制度~([2])。本研究旨在探讨合作医疗与农村居民卫生服务利用的关系,为发展农村合作医疗事业提供参考依据。1 资料与方法采用随机分层整群抽样的方法,从山东省安丘市随机抽 The cooperative health care system pioneered and implemented in China has once played an important role in protecting the health of rural residents, and has also had an important impact on the introduction of primary health care around the world ([1]), but due to various reasons, it has entered 80 In the 1990s and early 1990s, the cooperative medical industry fell back in many areas. The National Health Work Conference held in December 1996 proposed to continue to actively and steadily develop and improve the cooperative medical care system in rural areas ([2]). This study aims to explore the relationship between cooperative health care and rural residents’ health service utilization and provide reference for the development of rural cooperative medical care. 1 Data and methods were randomly selected from stratified cluster sampling and randomly selected from Anqiu, Shandong Province.