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文章以现场调研所收集的定性、定量数据为基础,对经济状况基本相当,但实行和未实行社区卫生服务机构收支两条线管理的两个地区其社区卫生服务机构的筹资结构、服务提供、次均门诊费用、社区人群满意度及社区医务人员满意度情况进行对比分析。得出的结论是:实行收支两条线管理地区社区卫生服务机构较好地落实了基本医疗和公共卫生服务、就诊人群医疗费用负担减轻、社区人群及社区医务人员满意度较高,此外,社区卫生服务机构并没有出现效率降低的情况,而政府也完全有能力负担社区卫生服务机构实行收支两条线管理。
Based on the qualitative and quantitative data collected by on-the-spot research, the article analyzes the financing structure and service provision of community health service institutions in two regions where the economic conditions are basically the same, but the two departments that administer and not implement the community health service agencies’ , Average outpatient expense, community population satisfaction and community health staff satisfaction were compared. The conclusion is: the implementation of the two lines of income and expenditure management community health service agencies to better implement the basic medical and public health services, treatment of medical expenses to reduce the population, community and community health workers higher satisfaction, in addition, Community health service agencies did not appear to reduce the efficiency of the situation, and the government is also fully capable of community health service agencies to implement revenue and expenditure management of two lines.