摘要
目的:构建深圳市家庭医生式(上门)服务项目成本核算模块,对已经开展的服务项目进行成本核算,以期为政府合理制定上门服务价格、完善补偿机制提供依据。方法:以模块化理论为指导,结合文献研究,采用问卷调查与焦点观察方法获取家庭医生式服务的基本情况劳务与物质消耗,通过计算标准人力成本与标准交通成本核算家庭医生式服务项目成本。结果:深圳提供上门服务的医师单位时间人力成本为1.683元/分钟,护士为1.497元/分钟,康复师为1.574元/分钟。结论:各项上门服务项目的成本均远高于现行收费价格,家庭医生团队上门服务的积极性受到影响。建议政府界定上门服务性质,理顺补偿机制,根据成本测算结果,按上门服务人员的职称分级、上门服务的路程长短,分门别类地确定上门服务价格,使上门服务人员的劳务价值得到充分体现。
Objective： To construct the family doctors＇ visits cost accounting module in Shenzhen, conduct cost accounting on the implemented service item, so as to provide references for the government reasonably design visit prices and implement compensation mechanism. Methods： According to the modular theory, combined with literature research, questionnaire survey and observation method were applied to get the focus of family doctors＇ visits with the basic situation of labor and material consumption, by calculating the cost standard costs of human resource and traffic. Results： The standard human resources cost of providing visit for family doctor was 1.683 yuan/min, the cost for nurse was 1.497 yuan/min, the cost for the rapist was 1.574 yuan/min. Conclusion： The costs were higher than the current priees. The initiation of doctors on visit service were affected. It suggested that the government should define visit properties, straighten out the compensation mechanism, separately define the visit service prices and make the price by technical title and distance.
出处
《中国卫生经济》
北大核心
2017年第4期54-58,共5页
Chinese Health Economics
基金
2016年深圳市卫生计生委系统科研项目(201607073)
关键词
家庭医生式服务项目
卫生服务价格
补偿机制
深圳
family doctor service item
health service priee
eompensation mechanism
Shenzhen
