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1、成都中医药大学硕士学位论文healthrelatedsubjectdays,chronicdiseasesscreening,tuberculosisandotherinfectiousdisease'shomevisit,healthconsultationandsoonarealsoneededtoimprove.(ⅲ)Thecommunityresidentsneedthecommunityhealthservice,itemswiththehighestdemandratearetheestablishmentofhealthrecordsandthecontinuousmanage
2、ment,healthcareofelder,thehealtheducationandthepreventionandcontrolofkeychronicdiseases,etc.However,therearefewresidentswhowillpayfortheseservices,andtheproportionwhowillpayarelessthan50%.Theuseofthecommunityhealthserviceisnotveryideal,andthereasonsarethefollowing:thecommunityhealthservicecenterhas
3、notprovidedsatisfyingservices,thehighertechnicalguidanceinstitutionshasnottransferredthesefunctionstothecommunityhealthcenter,andtheresidentsdonotacceptsomeitems.(ⅳ)Synthesizeingtheresidents’demand,thecentraldirector'sopinionsandresultsofthefocusgroupdiscussion,healthservicesituationofthesamplecent
4、ersin2006,andthereckoningofthecost,theSichuancitycommunitybasicpublichealthservicepackagewasfinallyformed.Itcontains5aspectswith15workpointsand52targets.Contentsandgoalsofthecommunityhealthservicearespecified,andtheworkprocedurewillbestandardized.(Ⅴ)Withoutconsideringofunpredictablecostinthefuture,
5、basedonthebasicpackage,thetotalcostofthecommunityhealthservicecentersprovidingthepublichealthservicetoeverytenthousandresidentsis91498.105Yuan:thecostofthehealthlifeinformationmanagementis13897.84Yuan,ofthehealtheducationis8328.70Yuan,ofpreventionandcontrolofdiseasesis30851.62Yuan,ofthekeycrowdheal
6、thcareandrecoveryserviceis37015.44Yuan,andofthereportofpubliceventsthatbreakoutis1404.55Yuan.Keywords:CommunityhealthservicecenterPublichealthservicepackageItemsCostaccountActivity-BasedCostingMethod4成都中医药大学硕士学位论文声明硕士学位论文四川省城市社区基本公共卫生服务包研究是本人在成都中医药大学攻读硕士学位期间在导师指导下完成的,该论文涉及的有关知识产权归成都中医药大学所有。有关该学位论文成
7、果的开发、转让、论文发表等,均需征得导师和成都中医药大学同意。硕士生:导师:年月日74成都中医药大学硕士学位论文前言一、研究背景2006年2月21日,国务院下发了《关于发展城市社区卫生服务的指导意见》(以下简称为《意见》),将社区卫生服务机构定性为公益性组织,将其职能和内容划分为公共卫生服务与基本医疗服务两部分,从而明确了社区卫生服务机构在城市公共卫生服务体系中的网底地位,与农村乡镇卫生院一起承担着捍卫公共卫