浦东新区社区卫生服务中心公用经费补偿方案研究

Study on the Payment Model for Operating Expenses in Community Health Service Centers of Pudong New Area

目的制定新的浦东新区社区卫生服务中心公用经费补偿方案。方法按照公用经费的服务量、房屋建筑面积、设备金额和在岗人员的分摊比例,构建浦东新区社区卫生服务中心公用经费的补偿方案,并进行方案的相关检验。结果浦东新区社区卫生服务中心公用经费按服务量、建筑面积、设备金额和人员数的分摊比例分别为4.72元/人次、140.90元/m2、171.81元/万元和612.36元/人。2013年浦东新区社区卫生服务中心公用经费补偿的预测值和实际支出值无统计学差异,且敏感度分析显示公用经费补偿的预测值有较好的稳定性。结论课题组拟定的社区卫生服务中心公用经费补偿方案能为政府加强社区卫生服务中心公用经费的补偿预算和控制提供决策依据。

OBJECTIVE To design a new payment model for operating expenses in community health centers of Pudong New Area.METHODS According to the ratios of operating expenses over workload, built-up area, equipment cost and number of personnel, thepayment model for operating expenses was designed. Analyses on the model were also taken. RESULTS The payment ratios of operat-ing expenses over workload, built-up area, equipment cost and number of personnel were 4.72 yuan/per capita, 140.90 yuan/m^2,171.81 yuan/10 000 thousand yuan and 612.36 yuan/person respectively. There was no significant difference between the predictivevalue and the actual value of operating expenses of community health centers of Pudong New Area in 2013. Besides, the model wasstable according to the sensitivity analysis. CONCLUSION The payment model for operating expenses in community health centerscould provide decision basis for the government to strengthen the budget and control of the operating expenses in community healthservice centers.