摘要
目标:分析上海市20家疾病预防控制机构和20家卫生监督机构2002—2007年的收入与支出及人员经费状况。资料与方法:综合运用上海市卫生总费用核算中的公共卫生机构费用数据,进行描述性统计分析。结果:公共卫生机构费用占卫生总费用的比例在SARS之前一直维持在5.2%左右,SARS之后提高到6.1%,其后又明显回落,"重医疗,轻预防"现象明显存在;上海市疾病预防控制机构仍有24%的收入依靠创收;不同地区的政府公共卫生投入差异明显,财政补助的人员经费仅能补足88%的人员支出。建议:加大政府财政补助力度,调整现有公共卫生服务体系,提高统筹层次,保障人群均等享有基本公共卫生服务,同时要加强绩效评价和监管,提高资金利用效率。
Objectives： To analyze the status of revenue and expenditure of 20 centers for disease control and prevention, and 20 health supervision facilities, from the year 2002 to 2007. Data and Methods ： Make full use of the data of Shanghai total expenditure on health （ STEH）, especially on pulic health facilities. This article provides a descriptive analysis. Results： The expenditure of public health facilities accounted for around 5.2% of STEH until SARS, then going up to 6.1% in the year 2004, and then declining significantly. The phenonmenon that attaching more importance to medical treatment than to prevention still exists. 24% revenue of the centers for disease control and prevention still has to rely on charges. There is still great difference on government public health input among different districts. And the fiscal input has only accounted for about 88% personnel expenditures. Recommendations： Increase the government health input gradually, adjust the existing public health service system, and elevate the financing level to guarantee the accessibility and fairity of basic public health services to all the people. Meanwhile, strengthen the performance evaluation and supervision to improve the efficient utilization of fiscal input.
出处
《中国卫生政策研究》
2010年第1期10-14,共5页
Chinese Journal of Health Policy
基金
上海市卫生局重大研究项目(编号:4.3)
上海市卫生局青年科研项目(编号:2008y010)
关键词
公共卫生
收入
支出
疾病预防控制
卫生监督
Public health
Revenue
Expenditure
Disease control and prevention
Health supervision
