卫生监督是指国家卫生行政部门和卫生监督机构依照法定职责和程序实施的一种卫生管理行为。有偿服务是指卫生防疫机构依据国家有关政策,在向社会提供卫生防疫技术服务时实施收费的一种管理活动。由于目前国家对卫生防疫事业投入不足,“头痛医头、脚痛医脚”的状况还未能得到根本改变,强化卫生监督,开展有偿服务,增强自身活力,促进事业发展,是各级卫生防疫部门都在积极思考和认真实践的问题。一、卫生监督与有偿服务实践中的“利”与“弊”。(一)卫生监督中两个效益一起抓,两个效益一起要的“利”主要在于:一是以有偿服务补无偿服务,保证了社会卫生监督职能作用的发挥。据对哈尔滨市区县级卫生防疫站调查,有偿服务收入已占总支出费用经费来源的80%,而卫生 Health supervision refers to a kind of health management behavior implemented by the national health administrative department and the health supervision agency in accordance with statutory duties and procedures. Paid service refers to a kind of management activity that the health and anti-epidemic agency implements charges when it provides the society with health and epidemic prevention technical services in accordance with relevant state policies. Because the current state’s investment in the health and anti-epidemic program is insufficient, the situation of “headaches and foot aches and pains” has not yet been fundamentally changed. Strengthening health supervision, developing paid services, enhancing their own vitality, and promoting business development are all levels. The health and epidemic prevention departments are all actively thinking and seriously practicing issues. I. “Profits” and “Disadvantages” in Health Surveillance and Paid Service Practices. (1) The two benefits of sanitation supervision are combined together. The “profits” of the two benefits are mainly: First, compensation services are paid for with paid services, which ensures the function of social health supervision functions. According to a survey conducted by the county-level health and epidemic prevention stations in Harbin, paid service income has accounted for 80% of the total expenditure expenses, and health