The budget prediction of basic public health service in the community

Objective To measure the cost of basic public health service and predict the budget of basic public health service in next year in the community health care centers of Shenzhen city. Methods The workflow and standards of basic public health service were set up by Delphi method.Sixty community health centers were sampled according to the proportion of 10% from all CHCs of Shenzhen city by a stratified random sampling,which were investigated by questionnaire to calculate the service cost to predict the budget in 2015. Results The service providing of the investigated CHCs varied a lot.Some services were up to the national standards(such as vaccination rate is above 98%),and there were still a big gap between some services and national standards(for example,the normative management rate of hypertension patients is 15.0%,of old people is 32.9%).The unit costs of different services varied a lot,too.According to the income standards of the 60 community health centers we investigated,which was 75.3 Yuan per hour as the human resource cost price,we predicted the total cost and average cost per person of Shenzhen in 2015 as follows: high level 1.64 billion Yuan and 109.4 Yuan per person each year,middle level 1.42 billion Yuan and 94.6 Yuan per person each year,low level 0.97 billion Yuan and 64.8 Yuan per person each year. Conclusion The cost of community public health service was not paid enough.The cost far exceeded the current standard of 45 Yuan per person each year.To meet the requirement of middle level target,the average cost in 2015 should at least reach to 95.0 Yuan per person each year.