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目的:在掌握当前江苏省乡镇级卫生服务机构乙肝防治工作内容和补偿水平的基础上,分析社区乙肝防治的理想补偿标准和供给弹性。方法:对江苏省具有代表性的张家港、丹阳和泰兴3个县级市所有乡镇级卫生服务机构进行机构调查。结果:以乡镇机构为单位,张家港、丹阳和泰兴每年分别需要32 548、27 073和32 655元用于社区乙肝防治,其中疫苗接种占25.2%~42.8%。社区乙肝防治各类服务供给弹性在0~1之间。结论:应根据当地的疾病特点,保证经费投入,合理分配工作经费,提高社区乙肝防治效果。
OBJECTIVE: To analyze the content and level of hepatitis B prevention and control work in township health service institutions in Jiangsu Province and analyze the ideal compensation standard and supply elasticity of community hepatitis B prevention and control. Methods: An investigation was conducted on all township health service agencies in three county-level cities of Zhangjiagang, Danyang and Taixing in Jiangsu Province. Results: Taking township and town organizations as a unit, 32,448,27,073 and 32,655 yuan were spent annually in Zhangjiagang, Danyang and Taixing for prevention and control of community hepatitis B, of which 25.2% to 42.8% were vaccinated. Community hepatitis B prevention and treatment of various types of service supply flexibility between 0 ~ 1. Conclusion: According to the characteristics of local diseases, we should ensure funding, allocate funds rationally, and improve the prevention and control of hepatitis B in community.