上海市青浦区基本公共卫生服务成本测算研究

田建国; 李俊; 韩荣荣; 彭丽霞; 赵锦江; 徐海燕

doi:10.19428/j.cnki.sjpm.2017.06.016

上海市青浦区基本公共卫生服务成本测算研究

Cost estimates for basic public health service in Qingpu District of Shanghai

摘要

摘要:
目的探讨上海市青浦区开展基本公共卫生服务所需要的成本，为政府部门制定基本公共卫生服务投入策略提供依据。
方法以2014年上海市人民政府确定的基本公共卫生服务项目为依据，通过专家会商的方法确定青浦区开展的基本公共卫生服务项目，在此基础上利用经济学方法进行成本测算。
结果青浦区完成2013年市政府规定的基本公共卫生服务需要公共卫生人员664人，现有参加基本公共卫生服务的人员数为579人，缺85人。当年政府在基本公共卫生的投入为8 987.75万元，测算需要13 438.10万元，投入与实际需要差4 450.36万元。
结论在现有人口和服务面积条件下，公共卫生工作人员和政府的投入满足不了工作开展的需求，政府应增加人力资源和经费投入。对于二级以上医疗机构政府应建立补偿机制，调动相关机构工作积极性。

Abstract:
ObjectiveTo investigate the cost of public health service in Qingpu District and provide evidence for the government in funds investment.
MethodsOn the basis of the basic public health service items of Shanghai City in 2014, the items in this research were determined by experts consultation, and then economics methods were used for the cost estimates.
ResultsIn this research, it was proved that 664 public health personnel were needed to fulfill the task of public health service stipulated by the government of Shanghai City while the actual number was 579, lacking 85 personnel. In 2013, the investment input on public health service in Qingpu District amounted to 8 987.75×10⁴ yuan while the actual need was 13 438.10×10⁴ yuan according to this research, so there was a lack of 4 450.36×10⁴ yuan.
ConclusionOn the basis of the population and service area in Qingpu District, the number of personnel working on public health service and the investment input by the government are not adequate to accomplish the stipulated task, so the government should increase health personnel and investment input on public health service. And a compensation mechanism should be set to motivate the related work in secondary or tertiary hospitals.

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