初级卫生保健费用是实施初级卫生保健的经济基础,其筹措应科学合理。笔者认为在费用筹措过程中,应遵循以下几项原则: 一、政府领导原则初级卫生保健费用的筹措必须在政府领导和组织下进行,而不能单纯地由卫生部门承担。这是因为初级卫生保健工作内容广泛,涉及部门多,需要政府强有力的领导;同时政府已对初级卫生保健作了承诺,负有筹措费用的直接责任。卫生部门尽管是政府的职能部门,负责初级卫生保健工作的计划、指导、协调、检查、监督等 Primary health care costs are the economic basis for the implementation of primary health care, and their financing should be scientific and reasonable. The author believes that in the cost-raising process, the following principles should be followed: 1. Principles of government leadership The financing of primary health care must be conducted under the leadership and organization of the government, but not by the health department. This is because the primary health care work has a wide range of contents, involves many departments, and requires strong government leadership; at the same time, the government has made commitments to primary health care and has the direct responsibility of raising funds. Although the health department is the functional department of the government, it is responsible for the planning, guidance, coordination, inspection, supervision, etc. of primary health care work.