综合运用文献归纳分析和专家咨询等方法,围绕服务提供的“农村”范围,以“公共卫生产品”和“准公共产品”性质为依据,以农村卫生服务机构功能定位为基础,遵循超过半数的专家认可方可纳入的原则,界定了我国包括疾病监测与报告、疾病预防与控制、妇幼保健、突发公共卫生事件、卫生监督、基本医疗、爱国卫生和新型农村合作医疗管理在内的农村公共卫生服务8项职能、23个类别和59个项目.经过11轮117人次的专家论证显示,8项职能、23个类别和59个项目的总体认可程度分别达到95.8%、96.1%和97.1%,具备一定可接受性:为进一步进行项目投入标准测算奠定了基础。
Through literature analysis, expert consultation and argumentation and other methods, strictly according to defined public health services in Cilinese rural areas, which were characteristic of public health goods and quasi-public goods, and on the basis of functions of public heahh service institutions, the paper makes a clear definitions of the functions, categories and items of public health services in rural areas following the principles of admission with recognitions of more than half experts. The results show that public health in Chinese rural areas can consist of 8 functions including monitoring and reporting of disease, prevention and control of disease, maternal and child health, public health emergencies, health supervision, basic health care, the patriotic health as well as newly-type cooperative medical management, 23 categories and 59 items. After 117 person times of consultation and argumentation of experts in 11 rounds, the overall recognition of the functions, categories and items reached 95.8%, 96. 1% and 97.1%, respectively with a certain acceptability, which laid the foundation for further measurement of financing of the projects.