| 摘要: |
| 目的：本研究的目的在于测算出13项免费计划生育技术服务项目的次均全成本和次均直接成本，为“两孩政策”时期免费计划生育技术服务项目结算标准提供参考依据。方法：问卷调查法、阶梯分摊法、时间系数分配法。结果：免费计划生育技术服务项目中13项中，单项成本最高的是输卵管复通术（全成本为1719.38元，直接成本为1381.36元），其次是输卵管结扎术（全成本为974.76元，直接成本为786.75元），最低的是环情孕情检测（全成本为37.62元，直接成本为30.37元）；免费计划生育技术服务项目构成细项中，实验室检查耗时最多，手术过程参与人数最多；四川省现行的结算标准补偿实际成本不到三分之一。结论：妇幼保健机构要提高效率，控制过多检查，加强成本管理；政府应及时调整相关结算标准，弥补实际成本。 |
| 关键词: |
| DOI： |
|
| 基金项目: |
|
| Study on Cost Estimation of Free Family Planning Technical Services |
|
| () |
| Abstract: |
| Objective The purpose of this study is to calculate the full costs and direct costs of the 13 free family planning technical services, and provide reference for the settlement standard of free family planning technical service project during the period of "two children policy". Methods Questionnaire survey , ladder allocation method and time coefficient distribution method. Results Among the 13 free family planning technical service items, The highest cost was the tubal recanalization (Full cost: ￥ 1719.38, direct cost: ￥ 1381.36), followed by tubal ligation and the cost of the operation (Full cost: ￥ 974.76, direct cost: ￥ 786.75) ,The lowest is the love of the situation detection (Full cost: ￥ 37.62, direct cost: ￥ 30.37); Free family planning technical service items constitute the details ,laboratory tests took the most time and the number of participants in the operation was the largest; The current settlement standard of Sichuan Province to compensate the actual cost of less than one-third. Conclusion Maternal and child health institutions to improve efficiency, control too much inspection, strengthen cost management; The government should promptly adjust the relevant settlement standards to make up the actual costs. |
| Key words: |
