上海市社区卫生服务中心公共卫生服务费用研究

Study on the Expenditure of Public Health in Shanghai Community Health Service Center

目的了解上海市社区卫生服务中心公共卫生服务费用的现状。方法对上海市10所具有代表性的社区卫生服务中心的各项公共卫生服务工作费用进行测算和调查。结果被调查社区卫生服务中心提供的公共卫生服务项目总费用为2948.4377万元,其中,慢病管理、计划免疫和其他工作三项公共卫生服务费用占总费用的59.37%,平均每个居民53.80元。结论上海市社区卫生服务中心目前存在"以医疗补预防"的现象,应加大政府投入力度,同时加强费用的监管,加强流程及绩效评价方面的研究。

Objective To take a evaluation on the expenditure of public health in Shanghai Community health service center. Methods Self- designed questionnaires were used to measure and investigate the expenditure of public health of 10 Community health service centers in Shanghai. Results The total expenditure of public health service in the investigated 10 community health centers was 29, 484, 377 RMB, among which, chronic diseases management, planning immunity and other works account for 59. 37% with 53.80 RMB per capita. Conclusion At present, the situation of incomes from medical treatment compensating the cost of prevention services exists in Shanghai Community Health Service Centers. The government should increase the budget of public health, strengthen the supervision on using the funding and spend it scientifically and reasonably.