四川省04年国债乡镇卫生院建设项目的卫生经济学分析与评价-analysis and evaluation on health economics of national debt township health center construction project in sichuan province in 2004.docxVIP

shows that THC construction improved both staff’s work environment and patients’ consulting environment, thus brought increased staff’s and patients’ satisfaction. (5) Influencing factor analysis of input-output shows: influencing factors of input-output of medical service quantity increase include staff number, per capita equipment over RMB 10,000 and project funding; factors of input-output of public health service include staff number, per capita service area and project funding; factors of cost-benefit include THC type, staff number and project funding. Conclusion: (1) After the project, THCs run well and in general effect and benefit per cost unit are obviously increased. (2) Cost-effectiveness and cost-benefit analysis results of THCs with different construction scale show great difference. Over-scale construction does harm for THCs’ development. In the future, project debt should be actively dealt with and project should be well managed. (3) In future project construction, category guidelines for project implementation in different regions should be adopted, varied investment policies and management patterns should be used and the construction scale should be controlled properly. (4) Methods used in this study are comprehensive, indexes are rationally designed. Dispelling influencing factors, effectiveness, benefit, and utility analysis were conducted and influencing factors of input-output analyzed. Keywords: THCs (Township Health Centers) Construction project Economic analysis Influencing factors analysis 82 82 PAGE PAGE 13 声 明 硕士学位论文 四川省 04 年国债乡镇卫生院建设项目的卫生经济 学 评价与分析 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，该论文著作权归成都中医药大学所有。由于本人的导师 （或主要具体指导者）系外校兼职导师，并提供了该学位论文撰写的 主要经费，故该论文涉及的有关知识产权等，按事先已有的约定执行。 若无约定，则同样需征得导师和成都中医药大学同意。 硕士生签名： 导 师 签 名： 年 月 日 四川省 四川省 04 年国债乡镇卫生院建设项目的卫生经济学分析与评价 1.前言 三农问题是我国党和政府高度关注的问题，而农村卫生工作又和三农问题的 解决有着密切联系，它对保护农村劳动生产力，促进农村经济发展，提高农村居 民健康素质具有重要意义。乡镇卫生院作为农村三级卫生服务网的中心，在农村 卫生工作中扮演着关键角色。然而，长期以来，我国农村卫生事业的发展滞后于 经济和其他社会事业的发展，政府对卫生的投入处于一种低水平徘徊状态，加之 历史欠账较