海洛因成瘾者社区美沙酮维持治疗工作门诊运营效率分析  

Analysis on the operation efficiency of methadone maintenance treatment clinics on community-based methadone maintenance treatment for heroin-addicts

作　　者：王梅[1] 刘克军[1] 

机构地区：[1]卫生部卫生经济研究所,北京100191

出　　处：《中国卫生政策研究》2010年第2期26-29,共4页Chinese Journal of Health Policy

基　　金：中国疾病预防控制中心性病艾滋病预防控制中心委托项目"海洛因成瘾者社区药物维持治疗试点工作项目费用管理评估"

摘　　要：目的:分析社区美沙酮维持治疗工作门诊(简称"门诊")的运营效率及影响因素。方法:通过问卷调查和定性访谈,运用边际成本方法进行分析。结果:日均门诊量287人是美沙酮门诊运营的最佳工作效率点,目前多数门诊未达到此状态;日均治疗例数、每工作人员和每平米面积分摊的治疗人数,以及例均成本和构成比较分析显示,美沙酮门诊运营的投资效率和成本控制均存在一定问题。建议:加强门诊服务的社会基础建设、激励机制建设和后续干预,提高治疗效果和门诊运行效率;中央转移支付应改变目前的支付方式和一刀切的支付标准,逐步建立一套考核指标及相应的效率补偿机制,以提高资金的运作效率和工作效率。Objectives： This study aims to evaluate the operation efficiency of the clinics for methadone maintenance treatment （clinics for short） and calculate the efficiency point and effecting issues. Methods： Based on the questionnaire survey and interview designed, the study uses the method and theory of marginal cost to make an analysis. Results ： The operation efficiency of the clinics will be maximal when the average outpatient amount per day reaches 287 person-times, but few clinics reach such outpatient amount now. The comparison among the daily average outpatient amount, the outpatient number equally allocated to each clinic staff as well as each square meter of clinics, the cost per person-time and its constitution ratios shows that there are some problems on cost control and investing ef- ficiency in the course of clinic operation. Recommendations： Clinics need to improve its operation efficiency and treatment effect through enhancing system construction, such as incentive mechanism, and further comprehensive interventions. For long-term operation, the central transfer payment standard being the same among clinics and the payment method should be changed. And compensation system based on efficiency and its check index should be gradually established referring to the index which our study gives in order to increase funds-utilizing efficiency and working efficiency.

关 键 词：海洛因成瘾者 美沙酮 边际分析 效率 

分 类 号：R512.91[医药卫生—内科学] R197.322[医药卫生—临床医学]