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

摘要： “公益一类财政供给、公益二类绩效管理”是当前基层卫生综合改革的重点内容。广东省积极开展该项政策并取得了一定成效，其改革经验作为典型示范在全国范围内进行推广。但各地区实际情况存在差别，在推进该项改革措施时面对的问题、改革重点等也有所不同。本文基于《2019基层卫生综合改革典型案例》和现场调研情况，选取广东省及其英德市、韶关市，海南省及其陵水县、五指山市，山东省菏泽市，汇总分析了各地区基层医疗卫生机构实行“公益一类财政供给、公益二类绩效管理”及相关配套改革的具体做法，以及各地区在提升基层医疗卫生机构服务能力、激发运行活力、提高患者吸引力和满意度方面取得的成效。在推进“公益一类财政供给、公益二类绩效管理”的过程中，虽然各地区面临的问题和改革重点不同，但政府高位推动、部门密切配合、基层医疗卫生机构主动作为都是推动改革的重要因素。

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