摘要
目的研究山西省某县基本公共卫生服务专项经费的拨付、补偿和使用情况,为县域内该专项经费的管理提供理论支持和实践经验。方法采用半结构式访谈法,并查阅相关机构数据和文献,以定性研究为主,分析该县基本公共卫生服务专项经费管理的优势和弊端,并提出改进的建议。结果该县基本公共卫生服务专项经费拨付和成本测算较科学合理,但经费支出中人员补助和耗材费用比例失调,补偿机制不利于调动各参与方的积极性,经费使用细节上也存在改善空间。结论调整专项经费的拨付制度和拨付标准,合理分配经费,有效激励各参与方,并规范服务成本的测算,进而提高基本公共卫生服务质量。
OBJECTIVE To study appropriation, compensation and use of special funds for basic public health services in a county in Shanxi province, and to provide theoretical support and practical experiences for fund management in county. METHODS A qualitative study was conducted in the project field, and a semi-structured interview and literature review were employed to analyze the st^ngth and weakness of the funds management in Qinyuan County. RESULTS The appropriation and cost estimation of special funds in the county is scientific and reasonable, but the expenditure structure is in imbalance and compensation mechanism is not conductive to mobilize the enthusiasm of the participants, and there is room for improvement in details of the use of funds. CONCLUSION To improve the quality of basic public health services, appropriation basis and level need to be adjusted, reasonable distribution and normative cost estimation are needed.
出处
《中国初级卫生保健》
2013年第7期1-3,共3页
Chinese Primary Health Care
基金
卫生部妇幼保健与社区卫生司项目
关键词
基本公共卫生服务
经费管理
成本测算
basic public health service
Fund management
cost calculation
