摘要
目的总结社区卫生服务中心实行综合改革试点后在收支两条线管理方面取得的成效，进一步完善收支两条线管理评价方法。方法对上海市首批试点某区进行社区卫生服务收支两条线管理动态评价和效果分析。结果某区社区卫生服务机构年度总收入下降了2．24％，其中检查收入和手术收入下降最多。全科人员及预防保健人员收入增加较多，工作业绩也有较明显的增长。社区居民、卫生行政人员及卫生服务人员对到中心看病是否方便、就医环境、医务人员服务内容及解释和交流情况、服务技术水平等满意度调查结果，差异无统计学意义；但对医务人员服务态度方面，卫生行政人员不满意（Χ^2=9．340，P=0．009）。结论上海市某区社区卫生服务收支两条线管理已取得较好成绩。建议进一步完善效果评价体系和评价标准，保证其科学性和有效性。
Objective A summary of the outcomes of the reforms on the separated management of income and expenditures, which was conducted in a Shanghai community healthcare center. Methods A dynamic evaluation and effect analysis were conducted on the separated management of income and expenditures in community health service in a Shanghai community. Results The investigation found the total income of a community healthcare service organization dropped by 2.24% （2006 vs. 2005）, mostly contributed by income from medical checks and surgical operations, yet a significant rise of personal income of general practice staff and prevention-based healthcare staff, along with a significant improvement of their performance. There is no statistical difference on the satisfaction investigation results on whether it is convenient for community residents, healthcare administrative staff, and healthcare service staff to come to the center for medical service, as well as the medical environment, medical staff service items, explanations and eommunications; however, healthcare administrative staff are not satisfied （Χ^2= 9. 340, P = 0. 009）. Conclusions This pattern of separated management has proved satisfactory as in the Shanghai community healthcare center. It is recommended to further improve this effect evaluation system and criteria to assure its scientific correctness and efficiency.
出处
《中华医院管理杂志》
北大核心
2008年第11期770-773,共4页
Chinese Journal of Hospital Administration
基金
上海市发展与改革委员会课题《上海市社区卫生服务收支两条线管理运行机制研究》（2007年）
关键词
社区卫生服务
收支两条线管理
动态评价
效果
上海市
Community healthcare services
Separated management of income and expenditures
Dynamic evaluation and effect analysis
Shanghai
