摘要
妇幼卫生服务由无偿向付费、半付费服务转化的一个可能结果是,预防性服务所受重视程度将会减低。可喜的是,在云南省几个县的调研表明,近年云南妇幼卫生系统实行的目标管理责任制在促使各级人员坚持预防性服务方面发挥了重要作用,云南省计生部门目标管理责任制也成绩斐然。在增大对生育健康服务投入的同时,坚持目标管理责任制将保证不断增加的投入发挥出更好的效益。
As a result of the significant improvement of MCH and family planning services,there has been a rather effective target-oriented management system in many parts of Yunnan. The management system includes a strategy of scoring or ranking by which the boss institutions evaluate the lower sectors with a set of comprehensive quantitative indicators. Usually a boss institution set up tasks for the lower health sectors for a fixed period,and the financing support or subsidies are closely related to these assignments. Allocation of the promised financing support was utilized to encourage progress by awarding the better working sectors while punishing the worse. This paper reports observation of the research team in rural Yunnan: to a great extent, the monitoring and evaluation system mentioned above prevented the grassroots reproductive health personnel from providing less routine preventive reproductive health services in favor of more curative care. As promised by the highest government at the China National Conference oh Health Reform, health investments in poor areas of rural China are expected to be increased. The authors suggest that if the coming input is put in with a closer relation with the existing fairly effective target - oriented management system, it will be more cost - effective thus benefiting more people.
出处
《中国初级卫生保健》
1997年第9期56-58,共3页
Chinese Primary Health Care
