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经过多年的探索,社区卫生服务机构实行收支两条线管理的成效显著。社区卫生服务机构的公共卫生服务得到有效落实,无论是社区医务人员还是社区居民满意度都有较大提高。然而,社区卫生服务机构实行收支两条线管理也遇到了许多问题。文章通过对社区卫生服务机构实施收支两条线管理的现状、困难进行分析,就存在的新问题提出合理性建议与对策,总结实施收支两条线管理的必要性,在新医改攻坚阶段从而更好地完善政府投入、收支运行、考核分配等管理体制与运行机制,进一步保障社区卫生服务机构的正常运行,充分发挥收支两条线管理在社区卫生综合改革中的核心作用。
After years of exploration, community health service agencies have achieved remarkable success in implementing two lines of revenue and expenditure management. The effective implementation of public health services by community health service agencies has greatly enhanced the satisfaction of community health workers and community residents. However, there are also many problems encountered by community health service agencies in implementing the two-line management of revenue and expenditure. The article analyzes the current situation and difficulties of implementing two line management of community health service institutions, puts forward reasonable suggestions and countermeasures for new problems, summarizes the necessity of implementing two lines of revenue and expenditure, So as to better improve the management system and operation mechanism of government input, revenue and expenditure, assessment and distribution, and further ensure the normal operation of community health service institutions and give full play to the core role of the two revenue and expenditure management in comprehensive community health reform.