目的测算获得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,再通过两轮德尔菲法专家咨询,确定基本公共卫生服务标准;然后随机抽取60家社区健康服务中心(社康中心)进行现场调查,按照服务标准测定基本公共卫生每一项具体服务内容的工作时间、工作强度和2013年服务量等。结果 60家社康中心2013年基本公共卫生服务时间为854 202.9 h,使用工作强度调整后为856 141.9 h。按照调查社康中心、全市社康中心、基层专业公共卫生机构在编人员收入标准和专家建议人力成本价格,换算得到人均基本公共卫生服务成本分别为67.5元/(人·年)、68.3元/(人·年)、76.4元/(人·年)和87.5元/(人·年)。结论完成2013年基本公共卫生服务人均成本至少67.5元/(人·年),远高于当前投入的40元/(人·年)。服务对象单位成本可作为基本公共卫生服务绩效考核依据。
Objective To investigate the cost of basic public health service. 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 that were randomly sampled; work time,work strength and service volume in 2013 of each specific item of basic public health service were determined according to service standards. Results The total work time of basic public health service of the 60 community health centers was 854 202. 9,and increased to 856 141. 9 hours after being adjusted by work strength. According to different income standards of the 60 community health centers we investigated,all community health centers in Shenzhen and public health settings at basic level and the human resource price which was recommended by experts, the average annual cost of basic public health service per person was calculated as 67. 5 Yuan,68. 3 Yuan,76. 4 Yuan and 87. 5 Yuan respectively. Conclusion The well implementation of basic public health service in 2013 required a cost of at least 67. 5 yuan per person,which was much higher than current input of 40 yuan per person per year. The unit cost for different service objects can provide references for the performance evaluation of basic public health service.