实施儿童预防接种信息化管理成本测算

目的了解实施儿童预防接种信息化及维持其正常运转所需成本,为实施推广提供依据。方法采用分层整群抽样方法,在江苏、浙江、河北、湖北、甘肃、云南省的12个市、29个县疾病预防控制中心和519个乡(镇,下同)卫生院开展问卷调查。结果调查地区实施成本平均15 252.17元/乡,全国实施成本约需6.72亿元;实施直接成本构成中,人员工资成本比例最高,平均占43.1%。信息系统运行中,年故障频次平均2次/乡,年故障排除成本平均224.9元/乡,全国每年故障排除费约需991万余元;培训支出335.31元/(次.乡),全国约需1 478万余元;手工录入年平均需35.64小时/乡,需劳务支出平均206.49元/乡。结论政策和经费支持是儿童预防接种信息化管理顺利开展的必要条件。东部地区实施成本低于中西部。就长期而言,实施儿童预防接种信息化管理有助于控制成本。

Cost Accounting for Child Immunization Registry Information Management

Objective To discern the cost about implementation and maintenance of Child Immunization Registry Information Management(CIRIM),and provide the scientific evidence for wide range use.Methods Use stratified cluster sampling,and conduct questionnaire survey to 519 township health centers,29 county CDCs,12 prefecture CDCs and 6 Provincial CDCs of Jiangsu,Zhejiang,Hebei,Hubei,Gansu,and Yunnan Provinces).Results The average expenses used for CIRIM was 15 252.17RMB each year for each township health center,6.72 hundred million RMB for whole country;It was found in the cost analysis that the personnel salary was 43.1 percent in the whole direct cost,accounting for the most of all direct cost.The average malfunction of information system occurred were 2 times per township health center,the cost for resolving it would be 224.9RMB for each township,9.91 million RMB for whole country.The average cost for staff training was 335.31RMB for each township health center,14.78 million RMB for whole country.The average input time by hand will take 35.64 hours each year for each township;hereby 206.49RMB should be paid to each township.Conclusion Policy and fund supports are essential condition for CIRIM.The cost of implementation in eastern area was lower than that of middle or western areas.CIRIM will be helpful to control the whole cost when we considering it from a tong-term point.