摘要
Abstract
Objective To investigate the cost in Yaxi Community Health Service Center so as to obtain the total cost, departmental cost and project cost in order to provide reference for local government to formulate the allowance criteria of community health services. Methods A questionnaire was developed for collect information. The full costing and project costing methods were used to calculate the cost of community health services. Results Yaxi Community Health Service Center provide services for a population of 59 600, with a floor area of 1 013 m , and regular employees of 52 people. The sub - center of public health service assumed the public heath services, the function which was the same as that of prevention and health care department, with its servicing population of 59 600, a floor area of 180 m , and regular employees of 10 people. The total service expenditure was RMB 2 359 400 yuan. Of which 2 063 400 ( 87. 45% ) yuan was the medical costs, and 296 000 ( 12. 55% ) yuan was the prevention health care costs. The balance of payment for the community health service center was -741 100 yuan, of which the financial earmarks was 322 600 yuan. The balance of payment for the sub - center of public health service was - 59 400 yuan, of which the financial earmarks was only 40 000 yuan. Conclusion The condition of the community health service organization remains to be improved, and it is in poor operating condition. The community health services compensation is inadequate for public health service cost. The medical treatment cost is higher than the preventive health care cost. The main cost of Yaxi community health service is for the labor service and the drug operating. It is necessary for the government to increase financial investment, change the idea that medical treatment is more impotent than preventive health care, improve work efficiency , and reduce unnecessary output.关键词
社区卫生服务/成本测算/公共卫生服务/项目成本Key words
Community health services/ Cost analysis/ Public health service/ Project costs分类
医药卫生
