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目的:通过对收入补偿及支出现状的分析,了解当前广东省县(区)级妇幼保健机构的发展动向,以明确妇幼卫生监管重点与方向。方法:运用分层抽样与随机抽样相结合;机构调查法、关键人员半结构化访谈法以及数据分析方法。结果:药品补偿比依然较高,财政补偿力度不足,保健业务亏损不断增大,保健支出增速滞后。结论:优化收入补偿结构、拓展补偿渠道、完善财政补偿机制、提高保健业务工作效率以及加强体制外资金管理是日后卫生监管工作的重点。
OBJECTIVE: To understand the current development trend of MCH institutions in Guangdong at county (district) level by analyzing the status quo of income compensation and expenditure in order to clarify the priorities and direction of MCH supervision. Methods: The combination of stratified sampling and random sampling; institutional survey, semi-structured interviews of key personnel and data analysis methods. Results: The ratio of drug compensation was still high, the financial compensation was insufficient, the loss of health care business continued to increase, and the growth rate of health care expenditure lagged behind. Conclusion: Optimizing the structure of income compensation, expanding compensation channels, improving the financial compensation mechanism, improving the efficiency of health care operations and strengthening the management of extra-institutional funds are the focuses of health supervision in the future.