Objective To compare the economic operation status and development trend of community health service ( CHS) centers of different ownerships to provide evidence for government formulating correlated policy .Methods Data on eco-nomic operation status , operation revenue and expenditures , government subsidies , and drug revenue etc.were collected through community health facility on-site survey in 2011 in 8 cities including Hang Zhou , He Fei, Wu Han, Cheng Du, Wu Xi, Tong Ling, Bao Ji and Shi Hezi.Database was established by EpiData 3.0 and data were processed by SPSS 17.0.Results From 2008-2011 , in terms of per capita operation revenue , the ring growth of government -owned centers , medical institution -owned centers , enterprise-owned centers were 18.2%, 1.6%and -2.1%; 21.7%, -2.7%and 7.7%; 9.6%, 11.3%and 6.7%, respectively.The proportion of government subsidies in the total income from 2008-2011: increased by 8.2%, 25.4%and 17.7%yearly in the government -owned, decreased by 26.9%, 16.2%and -25.7%annually in the medical fa-cilities-owned, grew by 7.3%, 10.3%and 69.0%year by year in the enterprise -owned; for private ones the proportion was first increased by 8.2%and 57.6%yearly from 2008-2010 , but decreased by 35.3%in 2011 compared with that in 2010.The proportion of drug revenue in the total revenue: increased by 3.9%, 1.7%and -1.3%yearly in the government -owned , de-creased by 5.4%and 6.1%annually from 2008-2010 , but in 2011 increased by 3.9%compared with that in 2010 in the med-ical facilities-owned, increased by 6.5%, -2.2%and 4.0%yearly in the enterprise -owned; for private ones, in 2009 it was increased by 8.9%compared with that in 2008 and decreased by 8.7%in 2010 compared with that in 2009 , not changing much in 2011.Conclusion (1) The per capita revenues were all increased in all the ownerships to different degree , among which government -owned centers got the highest increase.( 2 ) The proportions of government investment in the total revenue were increased year by year in government -owned facilities and enterprise -owned facilities , but the changing trends for the medical institution-owned and the private were not clear.(3) The changes of proportions of drug income in total revenue were not clear during 2008-2011 and the proportions in government -owned facilities and medical institution -owned facilities were comparatively higher.The article suggests strengthening performance evaluation and incentive of CHS facilities to facilitate sustain -able development of community health , taking reference of advanced experiences from other regions and further implementing gov -ernment compensation policy , and promoting comprehensive reform of community health service centers to further consolidate the national drug system.%目的：对比分析2008-2011年不同举办主体社区卫生服务中心的经济运行情况和发展趋势，为政府制定相关政策提供依据。方法利用2011年杭州、合肥、武汉、成都、无锡、铜陵、宝鸡和石河子8个城市现场调研调查社区卫生服务中心的经济运行状况，收集业务收入和服务收费、政府补助情况、药品收入等数据。采用EpiData 3.0录入数据，并使用SPSS 17.0软件进行统计分析。结果2008-2011年，在人均业务收入方面，政府办社区卫生服务中心环比增长18.2％、1.6％、-2.1％；医疗机构办环比增长21.7％、-2.7％、7.7％；企业办环比增长9.6％、11.3％、6.7％。在政府补助收入占总收入比例方面，政府办的社区卫生服务中心环比增加8.2％、25.4％、17.7％；医疗机构办环比下降26.9％、16.2％、-25.7％；企业办环比增加7.3％、10.3％、69.0％；个人办2008-2010年环比增加8.2％和57.6％，2011年与2010年相比环比下降35.3％。在药占比方面，政府办环比增加3.9％、1.7％、-1.3％；医疗机构办2008-2010年环比下降5.4％和6.1％，2011年与2010年相比环比增加3.9％；企业办环比增加6.5％、-2.2％、4.0％；个人办机构2009年比2008年环比增加8.9％，2010年比2009年环比下降8.7％，2011年与2010年相似。结论（1）各类机构业务收入均逐年增加，政府办机构人均业务收入高于其他类型机构；（2）政府和企业办的机构政府补助占比逐年增加，医疗机构和个人办的变化趋势不明显；（3）药品收入占医药收入比例的变化趋势不明显，政府办和医疗机构办的药占比较高。建议加强社区卫生服务提供的考核与激励，促进各类机构可持续发展；借鉴先进地区有益经验，进一步落实财政补偿政策；推进社区卫生服务机构综合改革，巩固国家基本药物制度。
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