摘要
目的:对我国省级疾病预防控制中心(以下简称疾控中心)预算资金投入与管理中的问题进行分析,提出针对性解决策略。方法:采用人口、地理数据对2022年我国31个省级疾控中心预算收支数据进行对比分析,其中以集聚度模型进行公平性分析。结果:不同省级疾控中心预算收入总量差异明显,且有27个省级疾控中心预算收入占省级卫生健康行政部门预算收入的比例低于3%。大多数省级疾控中心的“卫生健康支出”是全部预算支出的主要部分;31个省级疾控中心均缺乏在“科学技术支出”“教育支出”两方面的投入分配;“人均预算经费”“人均人员经费”差异明显,且“人均人员经费”预算支出水平普遍偏低。结论:省级疾控中心财政预算经费投入力度不足,卫生健康不同领域的投入结构不合理,“重医轻防”矛盾依然突出。
Objective:To reflect the problems in the budget investment and management of provincial Centers for Disease Control(CDCs) in China,and put forward targeted solutions to promote the healthy development of disease control and prevention.Methods:Combined with population and geographic data,the unit budget revenue and expenditure data of 31 Chinese provincial CDCs in 2022are analyzed and compared,and the agglomeration degree model is used for fairness analysis.Results:The total budget revenue of different provincial GDGs varies greatly,and 27 provincial GDC’s budget revenue accounts for less than 3% of the provincial health administrative department’s budget revenue.There are obvious differences among the eastern,central and western regions of the provincial GDC’s budget revenue.The health expenditure of most CDGs accounts for the majority of the total budget expenditure.While science & technology expenditure and education expenditure are lack of attention and allocation,there are significant differences between budget expenditure per capita and personnel expenditure per capita,and the level of personnel expenditure per capita is generally low.Conclusion:The funding input is insufficient,the structure of investment in different fields is unreasonable,and the contradiction of emphasizing medical care over prevention is still prominent.
作者
刘娜娜
黄烈雨
李振军
郭岩
李少琼
陈宝姗
陈浩
LIU Na-na;HUANG Lie-yu;LI Zhen-jun(Office of Human Resources,China Center for Disease Control and Prevention,Beijing,102206,China;不详)
出处
《中国卫生经济》
北大核心
2022年第12期1-6,共6页
Chinese Health Economics
基金
中央财政-中国CDC公共卫生应急反应机制的运行项目(131031001000210001)。
关键词
省级疾病预防控制中心
预算资金
人员经费
provincial centers for disease control
budget fund
personnel expenditure
