社区公共卫生成本测算与经费补偿实证研究:以北京市房山区为案例  

Case Study on the Cost Estimation and Funding Compensation in Community Public Health Service: Taking Fangshan District of Beijing as an Example

作　　者：段婷[1] 高广颖[1] 王静 李新 贾继荣[1] 朱俊利[1] 

机构地区：[1]首都医科大学卫生管理与教育学院,北京100069 [2]房山区卫生局财务科,北京102401

出　　处：《中国卫生经济》2015年第1期36-39,共4页Chinese Health Economics

基　　金：教育部人文社会科学基金项目(10YJA630034)

摘　　要：目的:探索一种合理、有效的公共卫生成本测算与经费补偿方案,提高经费使用效率。方法:选取北京市房山区5个社区卫生服务中心,对各社区公共卫生服务进行一个季度分项目、分类别的台账登记,并对各项目成本进行整理与测算分析。结果:5个社区的人均服务成本与次均服务成本差异明显,各社区公共卫生服务效率不同。结论:公共卫生服务经费的拨付应在保证社区公共卫生服务正常开展的基础上,与人次服务成本和服务量结合起来,提高社区运行效率,使经费使用效率最大化。Objective:To explore a reasonable and effective cost estimation and financial compensation plan for public health ser-vice, so as to improve efficiency in the use of fund.Methods:Selecting 5 community health service centers in Fangshan District, per-forming daily expenditure registration of different public health service items in a quarter, making cost collection and analysis of differ-ent service items.Results:Both per capita service cost and each time service cost of 5 communities had significant difference, publichealth service efficiency of 5 communities were obviously different.Conclusion:Based on the general running of community publichealth services, the allocation of the fund should be combined with each time service cost and service quantity, thus improving the run-ning efficiency of community and optimizing the use efficiency of fund maximization.

关 键 词：社区公共卫生服务 成本测算 经费拨付 北京 

分 类 号：R197.1[医药卫生—卫生事业管理]