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为保障城乡居民获得最基本、最有效的基本公共卫生服务,近年来国家不断加大资金投入,2013年人均经费标准提高至30元。在资金分配上,目前多数地方采用打包分配的方式,按照乡镇、社区服务的总人口数乘以人均标准,划拨给乡镇卫生院和社区卫生服务中心等服务机构。这种资金分配和支付方式没有与服务的数量、质量和群众满意度挂钩,且缺乏有效的制约措施和监管手段。为改变这一状况,今年3月,河北省沧州市财政局研发的公共卫生服务信息化系统正式运行,通过“享受服务——刷身份证——录入信息——系统结算”全新的服务流程,确保居民享受到免费、实惠的服务,同时也调动了服务机构的工作积极性,使财政资金的使用效益大大提高。
In order to guarantee urban and rural residents access to the most basic and effective basic public health services, the state has continuously increased capital investment in recent years and the per capita funding level in 2013 has been raised to 30 yuan. In the distribution of funds, most localities now use the method of package distribution and allocate them to township hospitals and community health service centers and other service agencies by multiplying the total population of towns and townships and community services by per capita standards. This kind of fund distribution and payment methods are not linked with the quantity, quality and mass satisfaction of the service, and lack of effective control measures and regulatory tools. In order to change this situation, in March this year, Cangzhou City, Hebei Province Bureau of Finance developed the public health service information system formally run, through the “enjoy service - brush ID card - input information - system billing ” new service Process to ensure that residents enjoy free and affordable services, but also mobilized the enthusiasm of service agencies, so that the efficiency of the use of financial resources greatly improved.