| ObjectiveBy means of knowing supply for medeal services in developing rural area of China, the needs for farmers about medeaJ services, utization, expenditure and its influenced factor,scheme of health resources and its problems, advice and suggestions of farmers aboutmedical care services and medical care system, establishing the new medical caresystem fitting the level of economy of rural developing areas, which is suitable for erritxarce and wi of farmers and improving the situation of health services for farmers in developing area.MethodsAdopt the methods of taking samples randomly. Randomly withdraw 6 townships in Wuzhi county Henan Province ,which haven't carried out the system and randomly withdraw 2 villages in each investigated township, among 12 withdrawed villages,choose 100 households as investigatees from each village by method of systemic sampling. Knowing deeply the situations of economy, hearth resources, the basic need of medical care services, utilization and expenditure of farmers and the gap between the need and utilization of medical services and it's causes, the suggestions and will of farmers, rural cadres and health personnel for medical care service and medical care system in Rural, the investigations about society, farmers and health institution in Rural. Summary and researching the health care system in Rural China, especially on the experiences of Co-operation Health Care Scheme(CHCS), the methods of researching documents, making an on-the-spot investigation and having special seminars. According to the investigation results, we design 2 sets of community intervention. Principles: starting form low level, negotiate willingly, moderate fee, service promotion, heath indemification.. The basic principle: the medical care system of contract for farmers is a kind of new medical care system, which is based on carrying out health organization in Rural as an organic whole and health services in Rural community. The basic principle is 'suiting measure to local conditions, starting from low position, volunteering to consult, collecting fees appropriately, promoting services, ensuring health 'and so on.. Contents of services: prevention and heath service, basic medical service, and weak group service Basing on volunteering to consult, farmers have a contract for health protection with their Health Service Station in Rural Community or Health Institution that is carrying out management as an organic whole. After one years implement of the scheme, we conduct the appraisal on possibility of health service, and propound some suggestions for the policy of China rural health reform to the related departments.Results1. Investigation of grassroots: the biweekly disease rate of the peasants is 19.28%, the beds of county and township hospital are respectively 220 and 4O, the average village doctors of medical unit is 2.33. Aueragery each vlage medical unit possess 393 kinds drugs, which is higher than that of national investigation resuhs, biweekry dinic visit rate is 13.99%, population of thousands possess 1.39beds, population of thousands possess 2.2. health technical staff, utfeation rate of beds is 21.28%, tower than that of national level. The running of hospitals of Wuzhi county and township dependom income of medical service and drugs. The average clinic hosprtafization and drug expenditure form 1996-2000 increased incessantly. The incidence rate of infections disease has the tendency and of ascending. From the investigations of reasons of failure of biweekly dnc visit of not getting basic medteal service of Wuzhi peasants are economical difficulty and high medial expendrture.2. scheme design: The first intervened scheme of community, famies raise funds about ten yuan each famiy a year. During contracted farmers are cured in then Health Institution, they can have a good treatment, for example, for free about registered fees and reducing 15%-25% expendrture on examining and treatment The second intervened scheme of community, families raise funds about five yuan...
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