"expenditure" In Management Mode. Jiading District Community Health Service Research

The Decision of the CCCP and the State Council on Health Reform and Development point out that, city health service system should be reformed, community health service should be developed vigorously and to Form functions and reasonable, convenient to the health service network in 1997. In 2006, the guiding opinion of the State Council on the development of city's community health service further clarify the public interest of the community health service centre and the principle of adhering to the government leading. On this basis, the national treasury, NDRC and ministry of health for the text that the conditional area can promote the pilot projects about the management of budgetary control. According to the requirements of the shanghai municipal government, Jiading has been listed in one of the the second batch of the pilot area counties, and the comprehensive reform of the community health service has been started in July 2007.Since senior department have not uniformly stipulations that municipality administrative divisions on their own can formulate implementation plans according to their own concrete realities. Jiading carry out the management model which subdistricts and townships are the platform. Although achievements were made in three years of explore practice,problems are also existed. It is necessary to put forward countermeasures to improve further reform by contrasting to the higher government's proposed reform goals, comparing with the development of reform from start to finish, comprehensively summarizing and evaluating gains and losings of reform.By Inquiry, comparison and analysis about that Jiading's community health service centres carried out Management practice of budgetary control. And combine work practice,This article overall analyses the progress, problems and causes of Jiading's model, And lastly to To improve the countermeasures. Execpt introduction, this paper is divided into four parts as follows:In the first part, the background and Policy of budgetary control management which carried out in community health service. In the second part, the quality and effectiveness of Jiading's budgetary control management model. In the third part, the problems and causes of Jiading's budgetary control management. In the fourth part, the countermeasure to improve and perfect Jiading's budgetary control management model.