中文摘要：

目的研究社区基本公共卫生服务成本。方法通过文献研究和专题讨论建立备选指标库,然后通过两轮德尔菲法专家咨询确定＂基本公共卫生服务标准＂;采取分层随机抽样方法抽取60家社区健康服务中心（社康中心）进行现场调查,采用＂作业成本法＂测定各项目服务时间,并借鉴＂以资源投入为基础的相对价值量表＂测定工作强度,修正工作时间。按照一定的人力成本价格可将工作时间转换为人力成本,与试剂耗材成本及运营管理成本相加,计算总成本、人均成本和单位成本;最后,依据国家服务规范中的标准,预测2015年经费。结果确定了基本公共卫生服务标准,包括10项基本公共卫生服务项目、28项服务类别、112项服务内容、365条工作步骤;调查的60家社康中心基本公共卫生服务时间累计856 141.9 h,总成本至少7 132.2万元,人均成本至少67.5元/（人·年）;基本公共卫生服务经费分配比例为预防接种25.9%、慢性病患者健康管理20.4%。结论本研究得出了社区基本公共卫生服务成本,可为政府经费投入和绩效考核提供参考依据。

英文摘要：

Objective To study the cost of basic public health service in community. Methods An index database was set up by literature review and panel discussion,and ＂ standards of basic public health service＂ were then established using a two- round Delphi method. Field investigation was conducted on 60 community health centers from stratified random sampling;work time of each service was measured by the activity- based costing method; work strength was determined by using the resource- based relative value scale to adjust work time. According to human resource price,work time was converted to human resource cost,and added to the cost of reagents and materials and the cost of operation and management to calculate the total cost,the average cost per person and the unit cost; finally, based on national regulation, the cost in 2015 was predicted. Results Standards of basic public health service were established concerning 10 basic public health services,28 service categories,112 items of service,and 365 work steps were standardized. The total work time of basic public health service of the 60 investigated community health centers was 856 141. 9 hours,total cost was at least 71 322 thousand Yuan,and the average annual cost per person was at least 67. 5 Yuan. For fund allocation proportion of basic public health service,vaccination took up 25. 9% and the health management of chronic disease patients 20. 4%. Conclusion This study worked out the cost of basic public health service,which may provide reference for government investment and performance evaluation.