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目的测算上海市、江苏省和青海省3个样本县农村公共卫生项目的单位成本,为进行样本地区项目100%完成所需标准成本的测算奠定科学基础。方法3县93家县、乡、村三级卫生机构的成本消耗和服务目标群体数量的机构调查,成本测算依据经济学上成本测算的思路和方法。结果不同样本地区农村公共卫生单位项目实际消耗成本水平不一,上海样本县水平最高,人均283.79元,江苏样本县其次,人均200.54元,青海样本县则人均只有75.03元。结论东部样本地区的单位成本均明显高于西部地区,在剔除服务目标群体的影响之后,这一差异可能与当地经济水平、样本地区工作任务的完成程度等存在一定关系,进行样本地区所需标准成本的测算要充分考虑到项目完成程度。
Objective To estimate the unit cost of rural public health projects in three sample counties in Shanghai, Jiangsu and Qinghai provinces, and lay the scientific foundation for the standard cost estimation of 100% completion of sample area projects. Method 3 Institutional survey and cost estimation of the cost consumption and the number of service target groups of 93 county, township and village health agencies in 3 counties Based on the ideas and methods of economic cost estimation. Results The actual consumption costs of rural public health units in different sample areas were different. The highest level of sample counties in Shanghai was 283.79 yuan per capita, followed by Jiangsu Sample County, 200.54 yuan per capita and only 75.03 yuan per sample in Qinghai Sample County. Conclusion The unit cost in the eastern sample area is significantly higher than that in the western region. After eliminating the influence of service target groups, this discrepancy may be related to the local economic level and the degree of completion of the task in the sample area, etc. The required standard The cost of the project should take full account of the completion of the project.