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机构地区:[1]四川大学华西公共卫生学院卫生经济教研室,成都610041
出 处:《现代预防医学》2009年第4期669-670,共2页Modern Preventive Medicine
摘 要:[目的]分析成都市武侯区社区卫生服务机构实施收支两条线管理的关键技术措施,为其他地区推广收支两条线管理模式提供借鉴。[方法]收集武侯区收支两条线改革的操作性文件、访谈该区社区卫生服务机构管理者和问卷调查社区卫生服务机构职工。[结果]对技术措施的重要性排序,武侯区社区卫生服务机构管理者认为最重要的是机构财务独立、财政预算管理、人事编制管理、绩效考核制度和备用金制度;职工认为最重要的是人员经费支出制度、结余管理制度、收支预算制度、绩效考核制度和备用金制度。[结论]武侯区收支两条线管理的关键技术措施为:社区卫生服务机构与举办机构脱钩,实现财务独立;收入全额上缴,支出纳入财政预算实行集中管理、统一结算;人事问题上定编定岗不定人,职工工资分为岗位工资和绩效工资两部分;加强机构和个人的绩效考核;实行运行经费备用金制度。[Objective] To analyze the key technical measures of implementing divided management on incomes and expenses in community health services in Wuhou district of Chengdu, so as to provide reference for spreading management model of divided management on incomes and expenses in other areas. [Methods] The manipulative documents concerning on the reformation of divided management on incomes and expenses in Wuhou district were collected; Managers and staffs in the community health services of Wuhou district were interviewed. [Results] Managers considered independence in financial statement, budgetary management, management of employees, system of performance appraisal and Petty cash system to be important in the technical measures. Employees regarded that the appropriation expenditure system of personnel, management of bal- ance, budget system of incomes and expenses, system of performance appraisal and Petty cash system as the important technical measures. [ Conclution] The key technical measures of implementing divided management on incomes and expenses in Wuhou district includes that Community Health Services and host institutions should be separated to realize financial independence, the total incomes should be turned over to the higher authorities and bringing the expenses into financial budget to realize central management and Unified settlement, personnel and position should be allocated, the wages should be divided into post salary and performance bonus, the performance appraisal of organization and staffs should be strengthened, and petty cash system should be implemented.
分 类 号:R197[医药卫生—卫生事业管理]
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