摘要
本文根据现有的报表资料,统计分析了3个贫困县卫生总费用的来源与使用,县医院及乡卫生院的收入与支出。分析结果表明,东兰、施秉、旬邑3个县人均卫生费用分别是16元、23元及25元,卫生总费用来源中,政府拨款占50～55％,个人支付占38～40％,企业支付占7～12％。政府卫生拨款占县财政支出的比例为8～10％。政府卫生拨款主要用于卫生事业费,人均卫生事业费4～6元,其中60～70％用于县医院及乡卫生院。县医院及乡卫生院收支基本平衡。县医院收入以药费为主,占43～52％,支出中药费占40～52％,人头费(工资、补助、奖金)占27～37％。乡卫生院药费在收入中占50～65％,在支出中占43～57％。本文还讨论了农村合作医疗保健基金来源的可能途径。
Based on the routine reports, the sources and use of total health finance , and the incomes and expenditures of the county hospitals and township health centres in the three poor counties were analyzed. The results indicated that the average health expenditure per capita was 16 yuan. 23 yuan and 25 yuan?in Donglan, Shibing and Xunyi respectively. 50~55% of the health expenditure came from the government , 38~40% from user charges and 7~12% was paid by the enterprises. The proportion of health appropriation in the government budget was 8~10%. Most of the government funds was for recurrent health expenditures.Of the funds, 60-70% was allocated to the county hospital and township health centres.For the county hospitals, 43~45% of the income came from drug sale.Of the total expenditure the drug purchase accounted for 40~52% and the payment of health workers and staffs for 27-57%. For the township health centres, the income from drug use and the expenditure of drug purchase were 50-65% and 43~57%), respectively in the total incomes and the total expenditure. The possible sources of finance for co-operative health care were discussed.
出处
《中国初级卫生保健》
1995年第8期34-38,共5页
Chinese Primary Health Care
