卫生干预措施的项目成本研究

Program Cost Exercise of Intervention in Health care System

世界卫生组织(WHO)采用了一种标准化的方法学来收集干预措施的成本与效果的地区性资料。研究作为其中的一部分,其主要目的就是收集中国欠发达地区75个卫生干预措施的项目成本,建立地区性的净成本数据库。研究结果显示了以下几个问题(1)“项目成本”概念的创新性与其数据的缺失性之间存在很大的矛盾。(2)“项目成本”估算过程中,数据核实有困难。(3)共同成本的分摊有一定难度。“项目成本”作为一个全新的概念,将其引入到决策层是有一定现实意义的,可促进决策科学化,我们应着力于摸索适应我国国情的“项目成本”实施办法。

WHO developed one standard methodology to collect the data of cost and effectiveness of different intervention in healthcare system.As one part of this program,this research is aimed to collect the data for program costs of 75 selected interventions in the remote area of China,and to assemble the regional databases.As result,there are some questions in carrying out this new concept.Since program cost has so much significance of contributing to scientifically manage,this is necessary to develop one suitable method to implement it.