摘要
目的了解我国欠发达地区县级疾病预防控制(疾控)机构收入状况及其对机构运行的影响,分析其中存在的主要问题,并据此提出相关建议,为政府决策提供参考。方法调查2013—2017年我国5省11家县级疾控机构的收支情况、负债情况、基本服务能力情况等。结果2013—2017年,欠发达地区县级疾控机构人均经费收入年均增长率为2.07%,远低于发达地区县级疾控机构的9.75%。欠发达地区县级疾控机构资产负债率呈现波动上升趋势,其资产负债率整体高于全国及发达地区。欠发达地区人员配备未能达到编制要求,其设备原值总量仅相当于全国水平的80.00%和发达地区的58.00%。结论政府应明确投入责任,适当提高财政补助水平,并根据当地实际情况,在取消3项收费初期,适度保留一些有利维护机构基本业务能力和满足当地企业和群众需求的有偿服务。提高人员薪酬待遇,加强人才队伍建设。重点关注薄弱环节,提高业务能力。
Objective To investigate the present financial status and its impact on organization operation of county-level center for disease control and prevention in underdeveloped areas in China to provide the base for identifying the existing issues and providing reference for policy-makers. Methods A total of eleven county-level centers for disease control and prevention from five provinces were investigated for their revenue and expenditure status,debt situations and basic service capacities. Results The average growth rate of annual per capita income in county-level centers for disease control and prevention in underdeveloped areas was 2.07%,which was lower than that in developed areas of 9.75% from 2013 to 2017. The asset-liability ratio in county-level centers for disease control and prevention in underdeveloped areas was higher than the national average level and that in developed areas. The staffing levels in the county-level centers for disease control and prevention in underdeveloped areas failed to meet the minimum standard,and its value of equipment was only equivalent to 80.00% of the national level and 58.00% of the level in the developed areas. Conclusion It is suggested that the government clarify its investment responsibility and increase reasonably the level of financial subsidies,and allow some chargeable services to support the basic capabilities of the center for disease control and prevention and meet the needs of local enterprises and the masses at the beginning of canceling three charges according to local actual conditions. Moreover,it is also suggested to increase the income of personnels and strengthen the construction of the talent team. Besides,weak links are also proposed to be paid attention to improve professional abilities.
作者
张婷婷
孟朝琳
马子华
陈琳琳
李志远
蔡源益
吴华章
ZHANG Ting-ting;MENG Zhao-lin;MA Zi-hua;CHEN Lin-lin;LI Zhi-yuan;CAI Yuan-yi;WU Hua-zhang(School of Humanities and Social Sciences,China Medicine University,Shenyang 110122,Liaoning China)
出处
《中国卫生资源》
北大核心
2019年第4期274-278,共5页
Chinese Health Resources
基金
国家卫生健康委员会财务司委托课题“我国疾控机构经济运行情况研究”
关键词
欠发达地区
县级疾病预防控制机构
收支情况
负债情况
基本服务能力
underdeveloped area
county-level institution for disease control and prevention
revenue and expenditure status
debt situation
basic service capacity
