赤脚医生时期北京市农村合作医疗的运行状况研究  

Operating Status of Rural Cooperative Medical Service in Beijing in the Period of Bare-Foot Doctors

作　　者：彭迎春[1] 吕兆丰[1] 王晓燕[1] 杨佳[1] 宋晓霞[1] 

机构地区：[1]首都医科大学卫管理与教育学院,首都卫生管理与政策研究基地,北京市100069

出　　处：《中国全科医学》2011年第16期1840-1844,共5页Chinese General Practice

基　　金：北京市属高等学校人才强教计划“创新人才建设计划”项目(PHR200906118);北京市教育委员会人文社会科学研究计划重点项目(SZ200910025006)

摘　　要：目的回顾性研究赤脚医生时期北京市农村合作医疗的运行状况,深入了解其推行、发展及解体过程。方法采用多阶段分层抽样的方法于2009年7月对北京市5个区县22个乡镇100个村进行了问卷调查、深入访谈和现存统计资料及史料的收集等调研活动。结果赤脚医生时期,合作医疗制度为农民获得最基本的医疗和公共卫生服务提供了有力的保障。结论北京市郊区县合作医疗的发展过程大致经历了萌芽、探索、发展和衰退四个阶段,其组织管理、筹资模式、体系运行等方面仍有一些值得今天借鉴的成功经验。Objective To retrospectively study the operating status of rural cooperative medical care in Beijing in the period of Bare-foot doctors,in order to deeply understand its process of implementation,development and break-up.Methods The multiple stage stratified sampling was taken for questionnaire survey,in-depth interview and collection of the statistic and historical materials from 100 villages of 22 townships in 5 districts of Beijing in July 2009.Results System of cooperative medical care provided a powerful guarantee for farmers to obtain the most basic medical and public health service in the period of Bare-foot doctors.Conclusion The development of cooperative medical service in outer suburbs and counties of Beijing can be divided into four phases of budding,exploring,development and decline.There is still some successful experience worth reference nowadays in its organizational management,financing mode and system operation.

关 键 词：赤脚医生 农村合作医疗 运行状况 

分 类 号：R19[医药卫生—卫生事业管理]