当代中国农村合作医疗制度起源探论

合作医疗是我国农村广泛实行的一项医疗制度,自20世纪二三十年代产生,历经变革,至今仍在沿用.关于它的起源,多数学者认为是源自陕甘宁边区的医药卫生合作社,也有学者提出是形成于民国时期的农村卫生实验区.然而考察民国时期卫生实验区的发展以及国外的研究成果,可知合作医疗在中国的发展实际上有着更为复杂的背景.中国卫生医疗制度近代以来基本上是受到西方国家的影响,合作医疗制度也不例外,其中受东欧国家农村合作医疗制度的影响较大,同时其话语建构也蕴含了社会及文化的变迁.

Research on the origin of cooperative medical system in modern Chinese country

cooperative medical system origin system transplant discourse The cooperative medical system is widely practiced in the country of Chinese,from the1920''s and 1930''s to today.More people think it comes from the medicine and hygiene cooperatives of shaanxi-gansu-ningxia border region,some people think it takes shape in the hygiene experiment areas during the republican period.But explore the developments of the hygiene experiment areas during the republican period and the references abroad, then can find more complicated background of it.Chinese medical system development maimly affected by the West since morden time,include the cooperative medical system,which mainly come from the eastern Europe state.At the same time,the medical discourse constructed also reflected the changed of the society and culture.