中文摘要：

卫生服务可及性差是目前我国卫生工作中的主要问题之一。我国农村互助医疗是根据我国西部农村问题设计的一套综合解决措施．也可以认为是新型农村合作医疗的模式之一，其实施效果有待检验。利用项目2005年度的随访家庭入户调查资料．采用国际较为流行的倾向得分匹配法对互助医疗改善卫生服务实现的可及性进行效果评价。结果表明，互助医疗有效地改善了门诊就诊情况，同时，对住院服务利用也产生了一定程度的正向影响，基本达到了项目预期目标。

英文摘要：

Health service access is one of the many problems China faces today. Rural Mutual Health Care, designed based on the local conditions of rural China, is one type of Cooperative Medical System, and its treatment effect still needs to be evaluated. The data used in this paper is from the follow-up survey in 2005 of the Rural Mutual Health Care program. Propensity Score Matching approach, one of the most popular statistical methods, has been used to calculate the treatment effect. The results show that the realized health access has been improved to some degree, as anticipated.