目的测算出社区基本公共卫生服务项目的经费分配比例。方法通过专家咨询法确定基本公共卫生服务标准内容及工作步骤;随机抽取60家社康中心现场调查2013年各项目的工作时间和工作强度,由工作强度调整系数对时间进行调整,计算各项目的工作量及比例。结果基本公共卫生服务项目经费分配比例依次为:预防接种(25.9%),慢性病患者健康管理(20.4%),建立居民健康档案(12.9%),孕产妇健康管理(11.0%),老年人健康管理(9.6%),儿童健康管理(9.2%),健康教育(4.6%),传染病和突发公共卫生事件报告和处理(3.3%),重性精神疾病患者管理(2.1%),社区康复服务(1.1%)。结论基本公共卫生服务项目的经费分配比例可为政府经费预算和分配机制提供参考和依据,同时可以作为社区公共卫生机构绩效工资考核与拨付依据。
Objective To measure the fund allocation proportion of basic public health service in community. Methods The content of standards of basic public health service and work steps were determined by Delphi method. Field investigation was conducted on 60 community health centers that were randomly sampled to measure work time,and work strength of each service in 2013; adjustment coefficient of work strength was also calculated to adjust work time; workload and proportion of each service were calculated. Results The fund allocation proportions of basic public health services were as follows: vaccination( 25. 9%), health management of chronic disease patients( 20. 4%), registry of health records of community residents( 12. 9%),health management of the maternal( 11. 0%),health management of old people( 9. 6%),health management of children( 9. 2%),health education( 4. 6%),report and management of infectious diseases and public health emergencies( 3. 3%), management of severe mental patients( 2. 1%), community- based rehabilitation( 1. 1%).Conclusion The fund allocation proportions of basic public health services can be considered as a reference for government budget and distribution mechanism and also for performance- related pay in community health centers.