关键词: 基层医疗卫生机构, 财政支持, 绩效管理, 卫生保健改革

Abstract: "First-class Financial Supply，Second-class Performance Management" Plan in public welfare is the key content of the current comprehensive reform in primary health care.Guangdong Province took the lead in implementing this plan and has received certain achievements.Therefore，its reform experience has been popularized as the typical demonstration nationwide.But there are differences in the actual situation of different regions，problems and reform priorities in pushing forward this reform plan are also various.Based on the 2019 Typical Cases of Comprehensive Reform in Primary Health Care and field investigation，this paper summarized and analyzed the specific measures in the implementation of "First-class Financial Supply，Second-class Performance Management" Plan in public welfare in Guangdong Province（especially Yingde City and Shaoguan City），Hainan Province（especially Lingshui County and Wuzhishan City），and Heze City of Shandong Province.The achievements of each region in improving service ability and stimulating operational workload of primary health care institutions，and improving the attractiveness to and satisfaction of patients were briefly described.Although different regions are faced with various problems and reform priorities，the vigorous promotion of the government，the close cooperation between departments，and the initiative of primary health care institutions are all important factors in advancing the "First-class Financial Supply，Second-class Performance Management" Plan.

Key words: Primary health care institutions, Financial support, Performance management, Health care reform