| 引用本文：汪瓒, 敖琴, 刘军安, 常瑞, 卢祖洵.社区基本公共卫生服务项目成本测算研究进展[J].中国卫生政策研究,2017,10(10):42-48 |
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| 社区基本公共卫生服务项目成本测算研究进展 |
| 投稿时间：2017-03-07 修订日期：2017-06-19 PDF全文浏览 HTML全文浏览 |
| 汪瓒, 敖琴, 刘军安, 常瑞, 卢祖洵 |
| 华中科技大学同济医学院公共卫生学院 湖北武汉 430030 |
| 摘要:目的：总结2009年以来我国社区基本公共卫生服务成本测算的研究现状，为各地区制定投入补偿政策及指导具体工作提供依据及建议。方法：对2009-2016年CNKI、维普、万方等中文文献数据库进行文献检索，使用NoteExpress进行文献管理，对纳入研究的相关文献及其参考文献使用Microsoft excel 2007进行分析比较。结果：共检索出相关文献817篇，纳入研究48篇，有详实研究结果的文献19篇；就成本测算的方法而言多采用完全成本法，占41.7%；作业成本法占20.8%；在成本分类的方法上以传统六分法为主，占54.2%；对于成本测算的研究结果目前更多运用在对社区公共卫生服务现状评价，占52.1%。成本测算最终结果显示：2009-2016年人均服务成本在20.9~95元之间；在所有成本的构成中，人力成本所占比例最大，在56.59%~74.9%之间。结论：我国社区基本公共卫生服务项目成本测算工作目前还有待进一步探索研究，各类成本测算的方法也应在实践中不断完善。 |
| 关键词:成本测算 国家基本公共卫生服务 社区 |
| 基金项目:华中科技大学研究生“实践育人”项目 |
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| Research progress of cost estimation of community basic public health service in China |
| WANG Zan, AO Qin, LIU Jun-an, CHANG Rui, LU Zu-xun |
| School of Public Health, Tongji Medical college, Huazhong University of Science and Technology, Wuhan Hubei 430030, China |
| Abstract:Objective:To summarize the cost of basic community public health service in Chinese community for the period 2009 to 2016 and to provide suggestions for the formulation of the compensatory policy and work instruction in each region.Methods:The literature search conducted on Chinese literature database(including CNKI, VIP, Wan Fang) from the period of 2009 to 2016.The literature was analyzed with the help of NoteExpress managing Literatures, and the relevant papers and their references were comparatively analyzed by using Microsoft excel 2007.Results:There were a total of 817 relevant articles, of which, 48 were included in this study and 19 with detailed research results.For the 48 articles, 41.7% adopted full costing method and 20.8% used activity-based costing method, 54.2% using six-item screener. More research of cost estimation applied to current evaluation of public health service in community, the results of cost estimation showed that the cost of basic community public health service per capita was significantly different among the studies in the period of 2009to2011 (20.9 RMB to 95 RMB).The man-power cost was the main cost of basic community public health service (between 56.59% and 74.9%).Conclusions:Further exploration and research on the cost estimation of national basic community public health service in China requires to be performed, and the cost estimation methods are supposed to improve in practice. |
| Key words:Cost estimation National basic public health service Community |
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