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目的:为探索妇幼保健机构服务项目的财政补偿方式、范围及强度,更好地落实财政补偿政策。方法:采用典型专题调查的方法,在不同经济水平的南方地区(江苏省)和北方地区(河北省)各选择1个县妇幼保健机构,并运用标准化与合理拟合等方法测算服务项目的标准成本,进而初步推算全国的成本投入。结果:按照经济欠发达地区(河北省)标准成本(不含药品成本)进行初步推算,我国每年县级妇幼纯公共卫生服务成本为42.8亿元,县级妇幼保健机构准公共卫生服务成本为36.8亿元,基本医疗服务成本为126.1亿元。结论:该测算与预测数据可以为政府对妇幼卫生服务进行财政投入提供参考。
Objective: To better implement the fiscal compensation policy in order to explore ways, scope and intensity of financial compensation for MCH services. Methods: Using the method of typical special survey, we selected 1 county maternal and child health care institutions in the southern areas of different economic levels (Jiangsu Province) and the northern areas (Hebei Province), and standardized the service items using standard and reasonable fitting methods Cost, and then preliminary projections of the national cost inputs. Results: According to the preliminary calculation based on the standard cost (excluding the cost of medicines) in economically underdeveloped regions (excluding Hebei Province), the annual cost of pure public health services for women and children at the county level in the country is 4.28 billion yuan, and the quasi-public health service costs of the county-level MCH institutions are 36.8 100 million yuan, the basic medical services cost 12.61 billion yuan. Conclusion: This calculation and forecast data can provide reference for the government to invest financially in maternal and child health services.