深圳市社区儿童健康管理服务成本及预测分析
发布时间：2019-06-14 07:36
【摘要】：目的测算社区儿童健康管理服务成本,为社区儿童健康管理服务经费预算及管理提供科学依据。方法通过文献研究及专题讨论建立备选指标库;经两轮德尔菲法专家咨询,确定儿童健康管理服务标准项目内容及工作步骤;随机抽取广东省深圳市60家社康中心进行现场调查,测定儿童健康管理服务工作时间及2013年服务量,并预测2015年儿童健康管理成本。结果社区儿童健康管理项目包括三大类、15项服务内容和58条工作步骤;60家社康中心2013年儿童健康管理服务调整工作时间合计78 646.9 h;按调查社康、全市社康、基层专业公共卫生机构当年在编人员平均收入水平和专家建议4种人力成本价格得出儿童健康管理服务总成本分别为651.8、659.7、738.3和846.1万元;人均成本分别为6.2、6.2、7.0和8.0元/人年;规范管理一名0~3岁儿童的单位成本分别为134.1、135.7、151.9和174.1元/人年,儿童健康管理服务应占基本公共卫生服务经费的9.2%,预测2015年深圳市社区儿童健康管理服务若需完全达到国家规范标准,需要人均成本分别为10.4、10.6、11.8和13.5元/人年;深圳市全市投入儿童健康管理经费约需1亿元。结论 2013年深圳市儿童健康管理服务人均成本为6.2元/人,高于目前政府财政对儿童健康管理服务的实际投入标准,建议2015年增至人均10.0元/年。
[Abstract]:Objective to measure the cost of community child health management service, and to provide scientific basis for the budget and management of community child health management service. Methods the alternative index database was established through literature research and special discussion, and the contents and working steps of the standard items of child health management service were determined through two rounds of Delfie expert consultation. 60 social health centers in Shenzhen City, Guangdong Province, were randomly selected for field investigation to determine the working time of child health management service and the service volume in 2013, and to predict the cost of child health management in 2015. Results the community child health management project included three categories, 15 service contents and 58 working steps, and the total working time of child health management service in 60 social health centers was 78 646.9 hours in 2013. According to the average income level of the staff and the four kinds of human cost prices recommended by experts, the total cost of child health management service was 651.8659.7738.3 and 8.461 million yuan, respectively, and the per capita cost was 6.2, 6.2, 7.0 and 8.0yuan per person-year, respectively, according to the survey of social health, social health of the city and the average income level of staff in the same year and the four kinds of human cost prices suggested by experts. The unit cost of standardized management of a child aged 0 to 3 years is 134.1135.7151.9 and 174.1 yuan / person year, respectively. The child health management service should account for 9.2% of the basic public health service expenditure. It is predicted that if the community child health management service in Shenzhen in 2015 needs to fully meet the national standard, the per capita cost will be 10.4, 10.6, 11.8 and 13.5 yuan per person year, respectively. Shenzhen City invested about 100 million yuan in child health management. Conclusion in 2013, the per capita cost of child health management service in Shenzhen was 6.2 yuan per person, which was higher than the actual investment standard of government finance in child health management service at present, and it was suggested that it should be increased to 10.0 yuan per person in 2015.
【作者单位】： 南方医科大学;深圳市疾病预防控制中心;深圳市妇幼保健院;深圳市南山区西丽人民医院;华中科技大学同济医学院公共卫生学院;
【基金】：国家自然科学基金(71373090)
【分类号】：R179
本文编号：2499229
[Abstract]:Objective to measure the cost of community child health management service, and to provide scientific basis for the budget and management of community child health management service. Methods the alternative index database was established through literature research and special discussion, and the contents and working steps of the standard items of child health management service were determined through two rounds of Delfie expert consultation. 60 social health centers in Shenzhen City, Guangdong Province, were randomly selected for field investigation to determine the working time of child health management service and the service volume in 2013, and to predict the cost of child health management in 2015. Results the community child health management project included three categories, 15 service contents and 58 working steps, and the total working time of child health management service in 60 social health centers was 78 646.9 hours in 2013. According to the average income level of the staff and the four kinds of human cost prices recommended by experts, the total cost of child health management service was 651.8659.7738.3 and 8.461 million yuan, respectively, and the per capita cost was 6.2, 6.2, 7.0 and 8.0yuan per person-year, respectively, according to the survey of social health, social health of the city and the average income level of staff in the same year and the four kinds of human cost prices suggested by experts. The unit cost of standardized management of a child aged 0 to 3 years is 134.1135.7151.9 and 174.1 yuan / person year, respectively. The child health management service should account for 9.2% of the basic public health service expenditure. It is predicted that if the community child health management service in Shenzhen in 2015 needs to fully meet the national standard, the per capita cost will be 10.4, 10.6, 11.8 and 13.5 yuan per person year, respectively. Shenzhen City invested about 100 million yuan in child health management. Conclusion in 2013, the per capita cost of child health management service in Shenzhen was 6.2 yuan per person, which was higher than the actual investment standard of government finance in child health management service at present, and it was suggested that it should be increased to 10.0 yuan per person in 2015.
【作者单位】： 南方医科大学;深圳市疾病预防控制中心;深圳市妇幼保健院;深圳市南山区西丽人民医院;华中科技大学同济医学院公共卫生学院;
【基金】：国家自然科学基金(71373090)
【分类号】：R179
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