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- W2381924380 abstract "ObjectiveTo explore the changing tendencies of farmers' medical service requirement and utilization after the implementation of the new rural Cooperative Medical System(CMS) by comparing the base-line investigation with the four follow-up surveys and to offer a scientific basis for the scheme of the new rural CMS.MethodsAn investigation was carried out by interviewing farmers in their homes.The multi-phase stratified cluster random sampling has been adopted to select 9 administrative villages from 3 townships with 70 families from each village.ResultsThe two-week prevalence rate is 80.14‰,which is higher than the results of 2005 and 2006.The proportion of persons going to a doctor is 88.32‰,which shows a descending tendency in the last five years,while the annual hospitalization rate is 59.89‰,which shows an ascendant tendency in the last five years.The proportion of persons not going to a doctor is 36.02%,which is higher than the results of the previous four investigations.The proportion of persons not hospitalized who need to hospitalize is 11.97%,which shows a descending tendency in the last five years.The proportion of persons not going to a doctor or not hospitalized because of financial difficulties is 41.79% and 70.59%,respectively.Both are higher than the results of 2004 and 2005.The main reason of the patients discharging ahead of schedule when they were hospitalized is that they can't afford the expenses of hospitalization,which occupies 62.50% of all.ConclusionThe new rural CMS has not a great influence on outpatient clinic service but promote the utilization of inpatient service.The main reason that hinder the utilization of the medical services remains financial difficulties." @default.
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- W2381924380 date "2008-01-01" @default.
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- W2381924380 title "A five-year follow-up survey on the effect of the new rural cooperative medical system on farmers' medical service requirement and utilization" @default.
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