苏州市城区民营和国有卫生机构社区卫生服务成本比较

Comparative Study of Cost between Private and State-owned Community Health Service(CHS) in Suzhou City

目的了解民营和国有社区卫生服务机构的服务成本差别,为社区卫生服务的进一步发展提供依据。方法随机抽取6家民营社区卫生服务中心和5家国有社区卫生服务中心/站进行调整,比较两组的基本情况和2006年所消耗的各类成本。结果民营组的总成本均数是767 714元,国有组的总成本均数是784 921元,无统计学差异。国有组的劳务费占总成本的比重高于民营组,民营机构卫生技术人员的年人均劳务费低于国有机构。结论民营组对于人力成本的控制比国有组好;增加对流动人口的公共卫生需求的补偿。

Objective To provide scientific foundation for the further development of CHS by analyzing the differences of cost in private and state-owned CHS. Methods Six private CHS centers as the private group and five stateowned CHS units as the public group were sampled randomly, matched by their permanent resident population and numbers of health staff. The basic condition of services and all kinds of costs of CHS in 2006 were compared. Results The two groups provided almost the same service items The mean of total cost of private group was 767 714 Yuan, and that of state-owned group was 784 921Yuan. No significant difference in statistics was found in total cost between two groups. The proportion of labor cost in the public group is higher than that in the private group. The labor cost per capita of health staff in the private group is lower than that that in the state-owned group. Conclusions The control of labor cost in the private CHS was better than in the state-owned ones The compensation for public health demand of floating population should be increased.