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目的了解乌鲁木齐市社区卫生服务机构的收支状况,分析存在的问题,为提出相应的完善措施提供依据。方法采取整群随机抽样方法,在乌鲁木齐市6个行政区抽取6个社区卫生服务中心和6个社区卫生服务站进行问卷调查,采用SPSS13.0统计软件进行数据分析。结果社区卫生服务机构的总支出大于总收入,其中总收入以药品收入为主,2005—2007年社区卫生服务机构除设备购置支出外,其他大部分收入与支出指标均呈逐年上升趋势。结论加大对社区卫生服务机构的补偿力度,完善相关配套政策,建立社区卫生服务支持系统,在不断增加资源投入总量的基础上,逐步建立以政府投资为主体,多渠道、多方式补偿相结合的筹资机制。
Objective To understand the state of revenue and expenditure of community health service agencies in Urumqi and analyze the existing problems so as to provide the basis for putting forward corresponding perfecting measures. Methods A cluster random sampling method was used to collect six community health service centers and six community health service stations in six administrative districts of Urumqi for questionnaire survey and SPSS 13.0 statistical software for data analysis. Results The total expenditure of community health service institutions was greater than the total income, of which the total income was mainly medicine income. In 2005-2007, most of the other income and expenditure indicators of community health service institutions showed an upward trend year by year except for equipment purchase expenditure. Conclusions Increase the compensation for community health service agencies, improve related supporting policies and establish community health service support system. On the basis of continuously increasing the total input of resources, gradually establish a government-funded, multi-channel and multi-phase compensation system Combined financing mechanism.