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目的模拟测算全国农村公共卫生项目投入标准,为完善我国农村公共卫生服务项目投入标准提供科学的依据。方法运用经济学上成本测算的思路与方法,数据来源于江苏、上海和青海省3个样本县93家县、乡、村三级卫生机构的现况调查与全国和样本地区常规报表资料。结果现有国力水平下,如果县、乡、村三级基本医疗均不纳入国家财政补助范围,100%落实现有项目任务,全国需投入696.48亿元,人均50.53元;如果将乡、村两级基本医疗纳入财政补偿范围,则需人均投入84.30元,全国732.84亿元;而如果将县、乡、村三级基本医疗均列入国家财政补助范围,则需人均投入132.84元,全国投入1154.87亿元。
Objective To simulate the input standard of rural public health projects nationwide and provide a scientific basis for improving the input standards of rural public health service projects in China. Methods Based on the idea and method of economic cost estimation, the data were collected from the survey of 93 health care institutions in 93 counties, townships and villages in three sample counties in Jiangsu, Shanghai and Qinghai provinces and the routine report data in the whole country and sample areas. Results At the current level of national strength, if the three levels of basic medical treatment at the county, township and village levels are not included in the scope of state financial subsidies and 100% of existing projects and tasks are completed, the entire country will need to invest 69.648 billion yuan and a per capita income of 50.53 yuan. If township and village two Level basic medical care into the scope of financial compensation, you need to invest 84.30 yuan per capita, the national 73.284 billion yuan; and if the county, township and village levels are included in the three basic medical subsidies within the scope of the country, you need to invest 132.84 yuan per capita, the national input of 1154.87 100 million yuan.