캬웕톶 S?H?E?? ?QU?? ?WE?I? SH?E?N??G ?B?A?O? ?JI?A?N?? 튻?5?3 튻?ꆤ·싛论著훸·ꆤ?짏?쫐ꆪ쟸쪳캰ꇶ쇆?돯筹资、ꆢ늹补뎥偿폫与듳大늡病럧风쿕险놣保障헏퇐研究뺿?헅张文컄忠훒?[ꆾ햪摘튪要l?本놾文컄对뛔上짏海몣郊붼区쟸?1?0룶个쟸IX쿘县，ꎬ컥五쓪年훐中뫏合ퟷ作튽民쇆疗돯筹资、ꆢ늹补뎥偿폫与듳大늡病럧风쿕险놣保헏障ퟷ作了쇋研퇐究뺿，ꎬ럖分컶析쇋了퓚在짧社믡会主훷义틥?쫐市场뎡经뺭济볃条쳵件볾下쿂，ꎬ쫐市붼郊얩农듥村뾹抗듳大늡病럧风险쿕能쓜力솦的뗄增퓶强잿，ꎬ쓜能폐有킧效뗘地뷢解뻶决얩农民쏱在퓚患뮼大듳病늡时쪱所쯹遭퓢遇폶的뗄疾벲病늡经뺭济볃风럧险쿕，ꎬ使쪹农얩民쏱?的뗄基믹本놾医튽疗쇆和뫍基믹本놾卫컀生짺服럾务컱得뗃到떽了쇋保놣障헏。ꆣ?[ꆾ맘关볼键诩듊]?合뫏ퟷ作튽医쇆疗돯筹资补늹뎥偿保놣障헏??????????????????????????????????????????????????????????????????ꎬ?STUDY ON SHANGHAI SUBU民BCOOPE议ATIVE MEDICAL SERVICE FUND RAISING, C?O?M?P?E?N?S?A?T??IO?N?? ?AN?D? ?I?N?S??U?RA??NC??E? ?FO??R? S??E?RI?O?U?S?? ?IL?L?N?E?S?S? ?Z?h?a?n??g ?W?e?n? ?Z?I如??咱????Sh?ω??.?g?ha?i???Mu?n?i?ci?p?a1? H?e?a?1?th? ?B?u?r?e??盹??S?hα?啪?ω?，ꎮ?2?ω??00?2? ?[ꆾ?A?b?s?t?ra??ct?]ꆿ T??he??r?e? a?r?e? ?1??0? D??is?tr?i?ct?s? a?n??d ?C??o?u?n?ti?e?s ?i?n? ??S?ha?n?g??ha?i? s??ur?b?u??r?b.ꎮ? W??it?hi?n ??5? ?ye?a?r?毡?ꎬ?，。?ω?p??er?a??t?i?v?e???m?e?d?ic?a?l ?????????????????ꎬ????????????????????????????????????????????????????????????ꎮ??????????????????????service fund raisin, compensation and insurance for serious illness have been studied. Under the盯onditionof s?o?盯?i?a?l?is?t?i?c??????????????ꎬ??????????????????????????????????????????????????????ꎬ???????????????????market economy, resistant ability to risk of serious illness has been enhanced, economical problems of ?????????????????????????????????????????????????ꎬ????????????????????????????????????????????????ꎮ?rural people during illness have been effectively solved ,essential medical and health附阿iceshave been ensured. [ꆾ?K?e?y? w?o?r?d??s]? ?co?o?pe?r?at?i?ve?? m??ed??ic??a?l ?s??er?vi?c?e?ꎬ, f?u?n?d? ?r?a?is?i?n?g?,ꎬ ?c?om??p?en??sa?t?i?o?n,ꎬ ?en?s??u陀???d.ꎮ?农얩村듥合뫏作ퟷ阪튽疗쇆制훆度뛈是쫇我컒罔맺农얩村듥主훷要튪的뗄医튽?医튽쇆疗制훆度뛈得뗃到떽了쇋全좫丽쏦的뗄发랢展햹与폫巩릮固만。ꆣ?疗쇆保놣障헏制훆度뛈，ꎬ짏上몣海붼郊쟸区뫏合ퟷ作튽医쇆疗巳틑有폐四쯄十쪮余폠年쓪?튻一、ꆢ죋人뻹均쫕收죫入폫与뫏合ퟷ作튽医쇆疗훆制度뛈瞌뢲董룇事싊?的뗄发랢展햹历샺史쪷。ꆣ1??95?8?年쓪1??0月퓂，ꎬ풭原뒨川즳抄쿘县헅张쟅桥乡쿧农얩??2∞??1?年쓪有폐合뫏作ퟷ医튽疗쇆的뗄乡쿧镇헲2?0??4룶个，ꎬ行탐政헾村듥?民쏱发랢扬퇯互뮥助훺共릲济볃精뺫神짱，ꎬ퓚在ퟔ自풸愿뗄的믹基뒡础上짏建붨立솢起웰??27?1?8?个룶，ꎬ뫏合ퟷ作튽医쇆疗쿧乡헲镇폫与탐行헾政듥村뢲覆룇盖싊率分럖别뇰为캪?半냫农얩半냫臣튽的뗄集벯体쳥医튽疗쇆保놣健붡制훆度뛈。ꆣ1??9?60?年쓪上짏海몣市쫐?1??0?0ꎥ%和뫍?97?.ꎮ?8ꎥ%。ꆣ쪵实볊际닎参볓加뫏合作ퟷ医튽疗쇆2?2?4?.ꎮ?63?万췲人죋，ꎬ?컀卫生짺뻖局召헙뾪开쿖现뎡场믡会ꎬ全좫闹쏦推췆广맣告뫏作ퟷ医튽疗쇆制훆度뛈，ꎬ?合뫏作ퟷ医튽疗쇆参닎与폫率싊达듯到떽7?0?.ꎮ?ꎥ4ꆣ%얩。农듥村쿭享쫜受웤其쯻他社짧?至훁1?9?8?7?年쓪，ꎬ뫏合ퟷ作튽医쇆疗탐行헾政듥村뢲覆룇盖率싊为캪8??6.ꎮ?2ꎥ%。ꆣ?会믡医튽疗쇆保놣障헏人죋数쫽为캪7?2?.ꎮ?31?万췲人죋，ꎬ닎参볓加뫏合ퟷ作医튽쇆疗及벰?改룄革룯开뾪放럅以틔来살，ꎬ随쯦着ퟅ农얩村듥生짺活믮水쮮平욽的뗄提쳡?其웤他쯻社짧会믡医튽疗쇆保놣障헏的뗄人죋数쫽占햼农얩村듥总ퟜ人죋口뿚的뗄?高룟，ꎬ듳大늡病훘重늡病돉成캪为医튽疗쇆保놣障헏的뗄主훷要튪矛쎬盾뛜。ꆣ1??98?7??9?3?%ꎥ0ꆣ 1??99?7?年쓪至훁2?0?0?1?年쓪，ꎬ좫全쫐市얩农튵业人죋口뿚囱평3??96?.ꎮ?39??年쓪由평金뷰山즽、ꆢ쯉松붭江솽两쿘县컀卫짺生뻖用뫍和짏上몣海医튽科뿆大듳学톧有폐?万췲人죋降붵至훁3?1?9?.ꎮ?0?0万췲人죋，ꎬ복减짙少1??9.ꎮ?5?3ꎥ%，ꎬ쓪年죋人뻹均쫕收入죫?关맘专家볒在퓚县쿘、ꆢ쿧乡헾政府뢮支횧持돖下쿂，ꎬ톡选퓱择了쇋춤亭新탂和뫍新탂?由평4?2?2?4?兀풪上짏升짽至훁5?8??00?元풪，ꎬ퓶增幅럹3?7?.ꎮ?31?ꎥ%，ꎬ붼郊쟸区参닎?桥쟅两솽个룶乡쿧进뷸行탐合뫏作ퟷ医튽疗쇆保놣险쿕的뗄试쫔点뗣。ꆣ1?9?9?1?年쓪发랢?加볓合뫏作ퟷ医튽疗쇆的뗄绝뻸对뛔人죋数쫽随쯦农얩业튵人죋口뿚的뗄减복少짙，ꎬ也튲?展햹到떽金뷰山즽、ꆢ쯉松江붭、ꆢ쓏南믣汇、ꆢ놦宝즽山뫍和웖浦뚫东탂新旺쟸五컥脏쟸?在퓚相쿠应펦减복少짙，ꎬ合뫏作ퟷ怪튽疗쇆的뗄穰뢲盖룇率싊一튻般냣披늨动뚯在퓚?县쿘，ꎬ틽引뷸进놣保쿕险믺机훆制，ꎬ믽积벫极첽探쯷索쫊适뫏合짏上몣海农얩村듥医튽?6??3?-?7?2ꎥ%之횮间볤(?见볻表뇭1)??0ꆣ?疗쇆保놣险쿕制훆度뛈的뗄新탂模쒣式쪽。ꆣ1??9?95?年쓪以틔后뫳，ꎬ퓚在뗷调查닩研퇐?二뛾、ꆢ뫏合ퟷ作튽匪쇆疗놣保障쿕基믹金뷰的뗄筹돯集벯、ꆢ쪹使用폃与폫补늹?究뺿的뗄基믹础뒡上짏，ꎬ퓚在쫐市政헾府뢮的뗄关맘心탄和뫍支횧持돖下쿂，ꎬ合뫏作ퟷ?偿뎥原풭则퓲?ퟷ헟떥캻ꎺ??????짏몣쫐컀짺뻖?根룹据뻝1?9?9?7?年쓪上짏海몣市쫐人죋民쏱政헾府뢮沪뮦府뢮[?1?9?9??7J? 作者单位:刷刷2上海市卫生局
캬웕톶 ?N?ON??G?? CU?N?? SH?E? ?Q?U? W?E?I? S?H?EN??G ꆪꎮ??ꆪꆪ?-54 -뇭表?1짏上海몣市쫐农얩村듥合뫏作ퟷ服튽疗쇆保놣险쿕覆뢲盖룇率싊(??1?9?9?7쓪年?-2?0?0?1?쓪年)?全市农业人口参加合作医疗保覆盏率人均收入数(lf人)除人数(lf人)(%) (元)1997 4224 1998 5277 1999 5407 2仪)() 226.ω 5603 2∞1 319.∞ 58ω ?13?뫅号文컄件볾精뺫神짱，ꎬ뷸进튻一늽步룄改룯革폫与췪完짆善쇋了짏上몣海市쫐农얩?죽三、ꆢ뫏合ퟷ作튽医쇆疗믹基뷰盒的뗄筹돯集벯崎폫构릹成돉(?볻见表뇭?2)?듥村合뫏ퟷ作医튽쇆疗制훆度뛈。ꆣ合뫏作ퟷ医튽疗쇆基믹金뷰筹돯集벯的뗄标뇪准ힼ?上짏海몣市쫐郊붼区쟸合뫏作ퟷ医튽疗쇆基믹金뷰的뗄筹돯集벯，ꎬ?1?9?9?7쓪年?쫇是:ꎺ얩农쏱民룶个죋人내按不늻低뗍于폚全좫县쿘(?阻쟸)?얩农쏱民쓪年죋人뻹均收쫕?훁~2?0?0?1?年쓪五컥年쓪中훐，ꎬ룶个죋人돯筹资占햼ퟜ总믹基金뷰的뗄?5?4?-?5?8ꎥ%?죫入的뗄?2ꆫ-?3ꎥ%交붻쓉纳，ꎬ듥村벯集体쳥从듓公릫益틦金뷰中훐提쳡取좡?5?-?7ꎥ%?횮之볤间，ꎬ年쓪人죋均뻹筹돯资分럖别뇰为캪4?3?ꎮ.?1풪元、ꆢ4?7?.ꎮ?7풪元、ꆢ?62?.ꎮ?8?ퟷ作为캪村듥交붻纳쓉的뗄基믹金뷰;ꎻ헾政府뢮扶럶持돖黯믹金뷰，ꎬ내按쪵实际볊参닎?풪ꆢ、?7?4ꎮ.?5풪兀뫍和8??1.ꎮ?4풪兀，ꎬ럖分뇰别햼占떱~쓪年쓪年죋人뻹均쫕收入죫的뗄?볓加人죋数쫽，ꎬ县쿘(?I쟸主?)헾政뢮府틔以쎿每죋人쎿每年쓪2?元풪的뗄标뇪准ힼ，ꎬ乡쿧??1.ꎮ?0ꎥ%ꆢ、?0.ꎮ?9ꎥ%ꆢ、?1ꎮ.?2ꎥ%ꆢ、1?.?3ꎥ%和뫍1?.ꎮ?4ꎥ%ꎬ，폫与?2?-3?ꎥt?毛뗄的쓪年죋人??(헲镇?)헾政뢮府틔以쎿每죋人쎿每쓪年3??-5?풪元的뗄标뇪准ힼ扶럶持돖合뫏作ퟷ医튽?뻹均收쫕入죫筹돯资比뇈例샽相쿠比뇈较뷏，ꎬ룶个죋人퓚在뫏合ퟷ作튽医쇆疗놣保险쿕?쇆疗，ꎬ以틔后뫳按내物컯价볛指횸数쫽的뗄变뇤动뚯作ퟷ适쫊当떱的뗄调뗷整헻;ꎻ对뛔?方랽面쏦的뗄投춶入죫还뮹有폐相쿠当떱的뗄潜잱力솦Oꆣ随쯦ퟅ着얩农村듥经뺭济볃的뗄?쪵实行탐大듳病늡、ꆢ重훘病늡统춳筹돯的뗄县쿘(区?쟸)?ꎬ，쫐市닆财헾政내按쪵实际볊?랢发展햹，ꎬ짏上몣海쫐市얩农듥村듥村벯集쳥体뫍和웳企튵业뛔对뫏合作ퟷ医튽疗쇆的뗄?닎参볓加人죋数쫽每쎿人죋1?元풪作ퟷ为캪引틽导떼资金뷰予폨以틔支횧持돖。ꆣ?춶投入죫有폐所쯹增퓶加볓。ꆣ县쿘(区?쟸)?、ꆢ쿧乡(?헲镇?)헾政뢮府뗄的춶投죫入룸给?合뫏作ퟷ医튽疗쇆摹믹金뷰的뗄使쪹用폃:?总ퟜ盛믹金뷰的뗄7??0ꎥ%-ꆫ8?0??了쇋뫏合ퟷ作医튽疗쇆一튻定뚨程돌度뛈的뗄支횧持돖，ꎬ폫与쫐市닆财헾政웴启动뚯资?ퟷ作为캪乡쿧(?헲镇)?믹基뷰金，ꎬ폃用폚于쏅门헯诊及벰5?0??0?0兀풪以틔下쿂(?含몬?金뷰的뗄支횧持돖一튻起웰，ꎬ뛔对췆椎뚯动짏上몣海얩农듥村合뫏作ퟷ튽E医쇆疗훆制脏뛈?5??ω?0?元풪)?힡住풺院튽医튩药럑费的뗄补늹偿뎥;ꎻퟜ总믹基뷰金的뗄?15?tꎥ?岛ퟷ作캪为?的뗄릮巩闹만뫍和랢发햹展，ꎬ웰起到떽了쇋积믽极벫和뫍十쪮分럖重훘要튪的뗄作ퟷ?县쿘(?쟸区?)짧社믡会춳统돯筹墓믹金뷰，ꎬ폃用于폚5??0∞??元풪以틔上짏的뗄住힡院풺?用폃。ꆣ各룷级벶政헾府뢮?1?9?9?7-ꆫ2?0?0?1?年쓪五컥年쓪的뗄投춶入죫占햼五컥年쓪?眠튽튩药费럑的뗄补늹偿뎥;ꎻퟜ总믹基뷰金的뗄?弘ꆫ?1?0ꎥ%폃用于폚农얩民쏱预풤防럀?财닆政헾支횧出돶估맀计볆为캪?0ꎮ.?0?6ꎥ%。ꆣ?놣保健붡、ꆢ쳘特种훖病늡防럀治훎。ꆣ?四쯄、ꆢ?1?99?7?年쓪蓝훁?20?0?1?年쓪医튽疗쇆服럾务컱利샻用폃与폫费럑用폃?眠튽药튩费럑补늹偿뎥比뇈例샽，ꎬ乡쿧(?헲镇)?틔以쿂下튻一냣般쏅门헯谁为캪?릹构成돉??50?问ꆫ6?0?tꎥ?奋ꎬ，힡住풺院6??0?-?7?0ꎥ%，ꎬ쿘县?(쟸区?춳)统돯筹믹基뷰金뗄的늹补뎥偿?1??99??7年쓪至훁2?0?0?1?年쓪合뫏作ퟷ医튽疗쇆保놣险쿕筹돯资总ퟜ额뛮?比뇈例샽为캪6??5ꆫ-?7?5ꎥ%，ꎬ럢封뚥顶튻一냣般为캪2?万췲元풪。ꆣ?分럖别뇰为캪1??9?49?0?.ꎮ1?万췲元풪、ꆢ?22?2?9?2?.ꎮ0?万췲元풪、ꆢ?23?4?2?0?.ꎮ2?万췲?上짏海몣市쫐郊붼区쟸合뫏作ퟷ医튽疗쇆基믹金뷰的뗄筹돯集벯，ꎬ充돤分럖体쳥?元풪、ꆢ2?7?1?2?4?.ꎮ1?췲万元풪和뫍2?8?7?3?2?.ꎮ0?万췲元풪，ꎬ횧支돶出ퟜ总뛮额分럖别뇰?现쿖了쇋以틔"ꆰ룶个人죋投춶入죫为캪主훷，ꎬ村듥集벯体쳥、ꆢ企웳业튵、ꆢ헾政뢮府共릲?为캪?1?45?8?1?.ꎮ5?万췲元풪、ꆢ1?5?5?5?9?.ꎮ?0万췲元풪、ꆢ2?2?0?5?8?.ꎮ?2万췲元풪、ꆢ?表뇭2? 上짏海몣市쫐农얩村듥合뫏作ퟷ医튽疗쇆保놣险쿕基믹金뷰构릹成(돉1??9??97?-??20?0?1?年쓪)?总篡金额构成(%)(万元)个人村集体企业乡(镇)政府县(区)政府市政府 1997 1998 . 1999 2侃到 。。 2∞1 问춬筹돯资"ꆱ뗄的풭原퓲则ꎬ，퓚在믹基뷰金뗄的쪹使폃用짏上춻突出돶了쇋社짧会믡?2?3?4?5?8?.ꎮ?4췲万풪元뫍和2?4?1?8?4?.ꎮ7?万췲元풪，ꎬ总ퟜ体쳥来살辛뾴苦룷各年쓪均뻹?镜춳筹돯抵뗖御폹大듳病늡风럧险쿕、ꆢ医튽疗쇆与폫预풤防럀相쿠结뷡合뫏的뗄原풭?有폐一튻定뚨的뗄结뷡余폠。ꆣ?则퓲，ꎬ퓚在늹补뎥偿比뇈例샽上짏突춻出돶了쇋"ꆰ以틔支횧定뚨收쫕，ꎬ솿最入죋为캪??1?99?7?年쓪至훁2?0?0?1?年쓪五컥年쓪平욽均뻹医튽疗쇆服럾务컱利샻用폃?出돶，ꎬ틔以복减쟡轻듳大病늡重훘病늡经뺭济볃负뢺扭떣为캪导떼向쿲"ꆱ的뗄原풭则퓲。ꆣ?及벰费럑用폃构릹成돉见볻表뇭3?0ꆣ?
캬웕톶 SH?巨??Q?U??W?巨?I?SH?巨?N?G?日A?O???????JIAN 튻??튻?-55-从듓我뇭3?可뿉以틔辛뾴苦出돶，ꎬ7?5?ꎥ%的뗄门쏅诊헯病늡人죋在퓚村듥卫컀生짺?年쓪人죋均뻹收쫕入죫的1뗄.?ꎮ5?ꎥ%发ퟳ布폒。ꆣ根룹据뻝2?0?0?1?年쓪上짏悔몣统춳计볆?室쫒就뻍惨헯，ꎬ只횻用폃去좥了쇋不늻到떽1?1ꎯ3?的뗄门쏅珍헯费럑用폃，ꎬ5?8?ꎥ%的뗄?局뻖城돇乡쿧调뗷查닩队뛓调뗷查닩结뷡果맻，ꎬ约풼有폐1?0?.ꎮ8?万췲的뗄郊붼区쟸人죋口뿚?病늡人죋在퓚卫컀生짺院풺得뗃到떽了쇋住힡院풺治훎疗쇆，ꎬ只횻用폃去좥了쇋不늻到떽?年쓪人죋均뻹收쫕入죫低뗍于폚2?∞??0?元풪，ꎬ尤폈其웤是쫇崇돧明쏷县쿘的뗄经뺭济볃?3??0ꎥ%住힡院풺费럑用폃，ꎬ充돤分럖体쳥现쿖了쇋村듥卫컀生짺室쫒在퓚门쏅诊헯和뫍?发랢展햹水쮮平욽相쿠对뛔较뷏低뗍，ꎬ뛔对这헢部늿分럖人죋口뿚及벰地뗘区쟸，ꎬ政헾府뢮?乡쿧卫컀生짺院풺在퓚住힡院풺方랽面쏦的뗄重훘要튪作ퟷ用폃，ꎬ同춬时쪱也튲反랴映펳?应펦给룸以틔更룼多뛠的뗄帮냯助훺和뫍政헾策닟上짏的뗄支횧持돖。ꆣ?表뇭3?? 上짏海몣市쫐农얩村듥合뫏作ퟷ医튽疗쇆服럾务컱利샻用与폃费폫用럑构폃成릹(돉%?ꎥ)?门诊住院村卫生室乡J1.然院县级以合计乡卫生院县级以合计上医院七医院医疗服务 1佣. 1ω.0 利用构成~疗服务 .. 1佣. l∞.0 费用构成了쇋县쿘、ꆢ乡쿧间솽级벶巳튽医疗쇆机믺构릹在퓚l2튽i쇆疗럾服컱务죽二三벶级췸附훐中各룷?上짏海몣市쫐农얩村듥在퓚照풭合作뫏lퟷ2튽i쇆疗믹基뒡础짏上틽引进뷸쇋?自ퟔ랢发믓挥的뗄基믹本놾医튽疗쇆保놣障헏作ퟷ用폃。ꆣ?以틔县쿘(?쟸区?)캪为떥单캻位뗄的짧社믡会춳统돯筹뫍和듳大늡病놣保险쿕机믺制훆Oꆣ?五컥、ꆢ짏上몣海쫐市얩农듥村뫏合ퟷ作튽眩쇆疗룟商뛮翻医튽쇆疗费럑用폃补늹?实쪵际볊运퓋行탐的뗄锚뷡果맻表뇭明쏷，ꎬ떱当잰前뗄的뫏合ퟷ作眩튽疗쇆制훆服뛈不늻?偿뎥?仅뷶保놣持돖了쇋过맽去좥的뗄优폅点뗣和뫍长뎤处뒦，ꎬ뛸而쟒且퓚在社짧会믡主훷义틥?내按县쿘(?区쟸)?ꆢ、쿧乡?(헲镇?)ꆢ듥、뫍村룶相个죋人돯筹资ퟜ总뛮额的뗄?市쫐场뎡뺭经济볃쳵条件볾下쿂使쪹抗뾹大듳病늡风럧险쿕的뗄能쓜力솦更룼为캪增퓶?1??5ꎥ%ꎬ，볓加짏上쫐市닆财헾政拨늦款뿮，ꎬ췆推쯣算全좫市쫐县쿘(?旺쟸)?짧社믡会춳统?强잿，ꎬ쓜能폐有킧效뗘地뷢解뻶决얩农쏱民퓚在뮼患듳大늡病쪱时쯹所퓢遭폶遇的뗄挟벲?筹돯基믹金뷰额뛮见볻表뇭4?。ꆣ내按照헕쫐市헾政府뢮有폐关맘合뫏作ퟷ医튽疗쇆社짧?病늡经뺭济볃风럧险쿕，ꎬ쪹使얩农쏱民뗄的믹基놾本튽医쇆疗뫍和믹基本놾卫컀生짺服럾?会믡统춳筹돯巍믹金뷰筹돯资和뫍偿뎥付뢶比뇈例샽，ꎬퟣ足以틔支횧付뢶年쓪5??ω?0??务컱得뗃到떽了쇋保놣醋헏。ꆣ由평듋此可뿉以틔看뾴出돶在퓚合뫏作ퟷ脏튽疗쇆器믹础뒡?元풪以틔上짏的뗄高룟额뛮医튽疗쇆费럑用폃的뗄补늹偿뎥。ꆣ?1?9?97?年쓪至훁2?0??01?上짏通춨过맽多뛠年쓪实쪵践볹而뛸发랢展햹形탎成돉的뗄新탂型탍的뗄、ꆢ具뻟有폐中훐?年쓪补늹뎥偿总ퟜ人죋放듎数쫽为캪?3?71?8?2?人죋次듎，ꎬ듎次뻹均늹补뎥偿3?2?2?9?ꎮ.?4?国맺(?짏上몣海?)쳘特즫色뗄的얩农듥村뫏合ퟷ作튽医쇆疗保놣险쿕制훆度뛈，ꎬ뻟具有폐?元풪，ꎬ벫极듳大뗘地복减쟡轻쇋了얩农쏱民뮼患듳大늡捕쪱时的뗄疾벲病늡经뺭济볃负뢺?极벫强잿的뗄生짺命쏼力솦。ꆣ?扭떣，ꎬ폐有킧效뗘地뷢解뻶决쇋了얩农쏱民퓚在뮼患듳大늡病时쪱的뗄疾벲病늡经뺭济볃?上짏몣海郊붼区쟸合뫏作ퟷ医튽疗쇆的뗄覆뢲蘸룇率싊呈돊现쿖一튻定뚨的뗄?럧风险쿕。ꆣ?搅늨뚯动탔性。ꆣ캪为了쇋룼更好뫃地뗘巩릮剧만和뫍完췪善짆合뫏作ퟷ脏튽疗쇆制훆?六쇹、ꆢ쳖讨싛论폫与붨建议틩?뛈度，ꎬ根룹뻝据上짏海몣붼郊区쟸经뺭济볃发랢展햹和뫍农얩民쏱的뗄收쫕入죫水쮮?짏上海몣市쫐农얩村듥合뫏作ퟷ脏튽疗쇆的뗄资金뷰，ꎬ真헦正헽做ퟶ到떽了쇋?욽平，ꎬ结뷡뫏合四쯄十쪮多뛠年쓪来살合뫏作ퟷ医튽疗쇆发랢展햹的뗄实쪵际볊经뺭?뛠多方랽돯筹资以ꎬꆰ틔农얩民쏱个룶人죋投춶入죫为캪主훷，ꎬ村듥集벯体쳥、ꆢ企웳?脸퇩，ꎬ늻不쪧失쪱时믺机뗘地퇐研뺿究，ꎬ훆制뚨定뫍和췆推탐行뫏合ퟷ作튽医쇆疗保놣?业튵参닎与폫，ꎬ헾政뢮府룸给폨予튻)뚨定扶럶持돖ꆱꎬ쪹뫏ퟷ튽쇆믹뷰?险쿕制훆度뛈的뗄地뗘方랽性탔法램规맦，日ꎬ틑是쫇当떱务컱之횮急、벱ꆣo这헢将붫有폐?筹돯集벯在퓚制훆f度뛈变ꆢ살、풴来뫍掘和쫽数솿盘짏上뗃得떽别쇋了폐有솦力뗄的놣保횤i证证。ꆣ?利샻于폚上짏梅몣郊붼区쟸社짧会믡眩튽疗쇆保놣障헏制훆度뛈的뗄建붨立솢、ꆢ巩릮闹만?평由폚于짏上몣悔붼郊区쟸얩农民쏱쓪年죋人均뻹收쫕人죫已틑达듯到떽?5咒?8?ω?元풪以틔?和뫍发랢展햹，ꎬ늢并붫将폐有훺助폚于붼郊쟸区룷各쿮项컀卫짺生룄改룯革和뫍人죋民쏱?짏上'ꎬ틲因듋此쿠相뛔对룶个죋人돯筹资比뇈例샽并늢不늻是쫇很뫜高룟，ꎬ욽平뻹均在퓚?좺群众훚健붡康뾵水쮮平욽的뗄提쳡高룟。ꆣ?表뇭?4짏上海몣市쫐얩农村듥合뫏作ퟷ阪튽疗쇆高룟额뛮阪튽疗쇆费럑用폃补늹偿뎥?社会统筹基金补偿阪药费补偿人次数次均补偿估计值(万元)总额(万元)(人次)(元) 2467 1997 3878 1998 4051 1999 15018 2以)() 11828 2∞l 뫏볆? ?3?7?2?4?2? ?3?2?2?9ꎮ.?4? 合计
