社区卫生服务医疗费用与居民支付能力及相关因素研究

This project calculated the consuming balance and consumption requests of different residents to community sanitation service according to the medical costs of community sanitation service and costing hospitals and possible costs of different residents to investigate, surrounding the topic of the continuing development of community sanitation service in towns of our country, exerting the theories and means of sanitary economics and sociology, analyzing historical materials and present investigation. Considering the calculation of labor service cost in the community sanitation service is the key problem, the project began with the labor service cost in the community sanitation service. We regarded the "manpower" consumption as the breaking point. According to the rule of quantification, we laid emphasis on the calculating method of labor service cost in the community sanitation service. This method chose the education background equivalent to quantify levels of certificates, the salary costs to quantify grades of professional titles, and the combination of the ratios of education background equivalent and education background structure to quantify the relatively proportional relationships of different technical series. It was eventually produced that the relatively proportional relationship of non-currency unit which reflected the standard of techniques and knowledge of people working in the community sanitation service organization. Basing on the quantification data such as average operation time, the number of different kinds of operators and workload, ext in the items of community sanitation service, labor service costs in a certain time were apportioned among the other items of community sanitation service. Therefore, we set up a calculating method of labor service cost in community sanitation service. Total costs of community sanitation service were complemented and consummated. The method provided the reliable facts to the government to work out reasonable price policy and charge criterion in community sanitation service. Our results will provide scientific decision-making bases for our government to stipulate charge-criterion and improve self- reimbursement mechanism in community sanitation service in our country.

完善社区卫生服务经济补偿机制是社区卫生服务可持续发展的关键因素。本项目运用卫生经济学和社会学的理论和方法，对我国社区卫生服务医疗费用与不同类型居民对社区卫生服务的消费意愿和消费可能进行调查研究，测算其消费均衡点，建立数学模型，确立相关因素，力图为完善我国社区卫生服务自身补偿机制提供决策依据。