母婴保健保偿制项目的成本分析  

The Cost Analysis of Maternal and Infant Prepayment Scheme

作　　者：方立亿[1] 韩晋华[2] 温明祥 邴媛媛[4] 

机构地区：[1]山东省卫生厅设备站,山东济南250014 [2]山东省济宁市妇女儿童医院,山东济宁272100 [3]山东省兖州市计划生育服务站,山东济宁272200 [4]山东大学卫生经济与政策研究重点实验室,山东济南250012

出　　处：《中国农村卫生事业管理》2001年第10期34-36,共3页Chinese Rural Health Service Administration

摘　　要：本文对山东省 10个乡卫生院和 8个乡计划生育服务站母婴保健保偿制项目的运作情况进行了调查分析 ,并比较了两类机构的经济效益。结果表明 :实行母婴保健保偿制的乡卫生院和乡计生站的平均成本均比未实行保偿制的同类机构低 ,前者低 8.2 4元 ,后者低 11.5 9元 ,同时实行保偿制的乡卫生院的平均成本比实行保偿制的乡计生站的平均成本低 8.10元。根据研究结果认为以乡卫生院为基础的母婴保健保偿制是最优的提供者 ,建议进行母婴保健保偿制机构改革和township health institutions were surveyed by using questionnaire in Shandong province. The results of economic efficiency analysis showed that the average costs of both township hospitals and family planning stations with MIPS are both lower than those without MIPS and the difference are 8.24 yuan and 11.59 yuan separately. Meantime the average cost of township hospitals with MIPS is 8.10 yuan lower than that of township family planning station with MIPS. Based on the results, we can include that township-hospital-based MIPS is most economically efficient, and township hospital is a practical provider. The authors suggest that organizational reform and/or mergence trial in selected places is necessary and meaningful.

关 键 词：母婴保健保偿制 保健成本 乡卫生院 成本测量 

分 类 号：R172[医药卫生—妇幼卫生保健]