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为贯彻《关于卫生改革与发展》和《关于城镇医药卫生体制改革的指导意见》,依据将实施的妇幼保健机构财政补助政策 ,开展了妇幼保健公共卫生服务项目财政补偿范围及测算标准调研工作。以 2 0 0 0年院内财务收支为基础 ,测算财政投入与实际支出的差额 ,测算公共卫生服务项目所需成本及总金额 ,提出纯公共卫生服务由政府负责全额投入 ;准公共卫生服务原则上由政府投入承担成本经费 ,提供设施建设及维护和人力成本的全部费用 ,对其中发生的公务费、业务费、材料消耗和电力交通等成本费用由财政补助 ,其余根据当地经济状况和群众承受能力收费补偿 ,由受益者个人承担。基本医疗保障服务应在国家核定的人员编制和国家规定的标准核定人员经费后 ,根据当地实际和财政收支情况确定政府补助补偿范围、强度和比重 ,在政府财政指导下实施统一收费项目与价格办法。
In order to carry out the “Guiding Opinions on Health Reform and Development” and “Guiding Opinions on the Reform of Urban Medical and Health System”, we conducted a survey on the scope of financial compensation and the measurement standards for maternal and child health public health service projects in accordance with the fiscal subsidy policy of the MCH institutions to be implemented. On the basis of the hospital financial revenue and expenditure in 2000, the difference between the financial input and the actual expenditure is measured, the cost and total amount of the public health service are estimated, and the pure public health service is proposed to be fully invested by the government. The quasi-public health service In principle, the government should bear the cost and provide the full cost of facilities construction and maintenance and labor costs. Financial assistance shall be made for the cost of official services, business expenses, materials consumption and electricity transportation incurred therein, and the rest shall be financed according to the local economic conditions and the masses Affordability compensation, borne by the beneficiary. The basic medical insurance service shall determine the scope, intensity and proportion of the government subsidy compensation according to the actual local conditions and the financial revenue and expenditures after implementing the national approved personnel establishment and the national standard approved personnel funding. Under the guidance of the government finance, the unified charging items and prices shall be implemented Method.