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分析了何为"定编、定岗、不定人",在社区卫生服务机构实施收支两条线管理过程中实行"定编、定岗、不定人"的必要性,以及各地的实践情况。研究发现,目前社区卫生服务机构实行收支两条线管理过程中,配套实施"定编、定岗、不定人"的人事制度面临了几大问题,包括核定的编制数与实际的工作需求难以相符;设置的岗位不够精简、职责界限过于明确;不定人存在执行难度。对此,提出的建议是:制定计划,逐步解决社区卫生服务机构的人员编制;采取综合的方式简化岗位设置,并培养一专多能的社区卫生人才;齐头并进,推进人事制度改革。 相似文献
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You C Yao L Fu J Wang F Wang H Dai T 《The International journal of health planning and management》2011,26(4):436-448
The separation of revenue and expenditure budgets (SREB) is a new financial budgetary system that is being implemented in community health services (CHS) institutions in some areas in China. Through literature review, it was found that, derived from the traditional separation of revenue and expenditure budgets (TSREB) implemented in administrative public services units, SREB and TSREB have something in common and yet many more differences. On the basis of some quantitative and qualitative data that were collected by field survey, it was also found that implementation of SREB in CHS institutions brings positive outcomes in terms of the quantity, quality and efficiency of services; residents' satisfaction; and the behavior of CHS institutions. The conclusion can be suggested that SREB, as a system having impact upon the incentives facing CHS institutions and the nature of governmental responsibility for developing CHS in China, will promote CHS institutions to fulfill basic service functions if implemented well. Therefore, it is a system that is worth further development and evaluation. 相似文献
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典型地区社区卫生服务机构收支两条线管理模式的比较分析 总被引:1,自引:0,他引:1
尤川梅 《中国初级卫生保健》2009,23(8):27-30
通过分析典型地区社区卫生服务机构收支两条线管理模式,其共同特点是实行全额预算管理,以区财政为主实行多级财政筹资,收支两条线管理实施过程中收入和支出的内容基本相同;不同点包括收支两条线管理的方式、社区卫生服务机构总收入中财政投入标准和支出管理等三个方面的差异。通过分析不同收支两条线管理模式的优缺点.提出社区卫生服务机构实施收支两条线管理并没有绝对的最优和最差做法,各地在实践中,既要分析不同模式的优缺点,也要结合本地实际,总结已有的经验和教训,以便顺利开展社区卫生服务机构收支两条线管理试点。 相似文献
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