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多种形式办合作医疗是改革农村卫生工作的有效途径，中国农村的社会经济文化变异相当大，单一一种合作医疗模式并不能满足不同地区的需要，应当开展深入细致的研究工作，研究不同经济发展水平，不同文化背景，不同合作医疗管理层次，不同补偿形式和不同管理手段的合作医疗保健制度的操作方法。能否适时改进合作医疗制度模式，始终保持与外界社会经济大政策变化相适应，与当地社会、经济发展水平相适应，是能否开展和坚持办合作医疗的重要内容之一。为深入了解山东省现存合作医疗模式，为合作医疗今后的发展提供借鉴和参考，本文对山东省合作医疗模式进行了分析。研究结果发现山东省的合作医疗运作模式较多，从筹资渠道、管理形式和补偿内容考察，山东省的合作医疗模式有２９７种之多，尤其是补偿内容各不相同。这表明山东省的合作医疗呈现出多种多样的局面，这符合多种形式办合作医疗的方针。但也看到，在这众多的模式中，稍占微弱优势的是村筹资、免收挂号费，这种模式的保障程度是极低的，因为只免收村卫生室挂号费难以刺激起农民群众的有效医疗需求，而一旦有了医疗消费，又没有给予必要的补偿，不可能降低群众因病致贫的风险。因此合作医疗一定要拿出一部分资金用于保大病，这才能真正解决农民大病?
Cooperative medical treatment in various forms is an effective way to reform rural health work. The socio-economic and cultural changes in rural China are quite large. A single cooperative medical model cannot meet the needs of different regions. In-depth and meticulous research work should be carried out to study differences. The level of economic development, different cultural backgrounds, different levels of cooperative medical management, different forms of compensation and different means of management of cooperative health care system operating methods. Whether or not the mode of the cooperative medical system can be improved in a timely manner will always remain compatible with changes in external social and economic policies, and be compatible with local social and economic development levels. This is one of the important contents of whether or not cooperative medical care can be carried out and persisted. In order to have a deep understanding of the existing cooperative medical model in Shandong Province and provide reference for the future development of cooperative medical care, this paper analyzes the cooperative medical model in Shandong Province. The results of the study found that there are many cooperative medical operation models in Shandong Province. From the perspective of funding channels, management forms, and compensation content, there are 297 kinds of cooperative medical models in Shandong Province, especially the content of compensation varies. This shows that the cooperative medical service in Shandong Province presents a variety of situations, which is in line with the principle of cooperating medical care in various forms. However, we also see that in many of these modes, the slightest advantage is that the village raises funds and exempts registration fees. The degree of protection of this model is extremely low, because it is difficult to stimulate the farmers only by exempting registration fees from the village clinics. The effective medical needs of the masses, and once medical expenses have been made, do not provide the necessary compensation, and it is impossible to reduce the risk of people becoming impoverished due to illness. Therefore, it is necessary for cooperative medical care to use some funds for the protection of major diseases.