社区基本预防服务的成本测算

Costing of Community Basic Preventive Services

预防服务是一类准公共产品或具有正外部性的消费品,政府提供补助或直接予以提供就是必然的解决途径。通过分析社区基本预防服务的成本及其构成,可以为政府预防经费的预算与预防服务的战略规划提供实证参考依据,也为社区医院挖潜节支,提高资源利用效率提供决策参考。结果表明,预防经费投入与目前开展服务实际需要之间尚有一定差距,需要增加政府投入,按基本预防服务优先次序合理配置资源、规范社区预防服务、改善工作效率是提高有限资源利用效率的有效途径。

Because preventive services are quasi - public goods or of positive externality, the government should provide these services through subsidy or directly public supply. The analysis of the cost and its components of basic community preventive services can provide necessary evidences for policy making to from budget and strategic planning for preventive services and to make saving and reise the efficiency of resources utilization at community level. The results showed that there existed a big gap between government bodgets for preventive services and actual expenditures for service delivery. The effective solutions for maximizing the efficiency of the limited resources contain rational allocation of resources according to the priorities, the standardization of preventive services, and the improvement of working efficiency.