陈卓蕾, 付晨, 吴凡, 陈勇, 陆晔, 李欣宇. 我国疾病预防控制机构筹资现状研究[J]. 上海预防医学, 2021, 33(1): 13-18. DOI: 10.19428/j.cnki.sjpm.2021.20625
引用本文: 陈卓蕾, 付晨, 吴凡, 陈勇, 陆晔, 李欣宇. 我国疾病预防控制机构筹资现状研究[J]. 上海预防医学, 2021, 33(1): 13-18. DOI: 10.19428/j.cnki.sjpm.2021.20625
CHEN Zhuo-lei, FU Chen, WU Fan, CHEN Yong, LU Ye, LI Xin-yu. Current financing in disease control and prevention institutions in China[J]. Shanghai Journal of Preventive Medicine, 2021, 33(1): 13-18. DOI: 10.19428/j.cnki.sjpm.2021.20625
Citation: CHEN Zhuo-lei, FU Chen, WU Fan, CHEN Yong, LU Ye, LI Xin-yu. Current financing in disease control and prevention institutions in China[J]. Shanghai Journal of Preventive Medicine, 2021, 33(1): 13-18. DOI: 10.19428/j.cnki.sjpm.2021.20625

我国疾病预防控制机构筹资现状研究

Current financing in disease control and prevention institutions in China

  • 摘要:
    目的对全国各级疾病预防控制(简称“疾控”)机构的筹资和财政投入情况进行分析,剖析问题,提出政策建议。
    方法采用问卷调查法收集全国各级疾控机构收支及结构等指标,并进行分析。
    结果2014—2018年,全国卫生总费用中用于公共卫生机构的占比从7.0%下降至5.6%;疾控机构日常运行所需的公用支出,其财政补偿水平不足50%。取消三项行政性事业收费后,部分疾控机构收支缺口未予以及时弥补,基本和重大公共卫生服务经费保障机制仍未理顺。
    结论应优化健康筹资结构,加大对疾病预防的资源投入,提高疾控机构的财政保障水平,健全公共卫生服务经费保障机制,完善多渠道筹资机制。

     

    Abstract:
    ObjectiveTo analyze the current situation of financing in disease control and prevention constitutions in China, to identify existing problems, to explore potential reasons, and to make policy recommendations accordingly.
    MethodsFinancial related indicators, including revenue and expense of disease control and prevention institutions, were collected through questionnaire survey. Moreover, some disease control and prevention institutions were selected for on-site survey.
    ResultsThe proportion of public health institutions in the Total Health Expenditure had fallen from 7.0% in 2014 to 5.6% in 2018. The proportion of financial compensation in the operation of disease control and prevention institutions was less than 50%. The gap between revenue and expenditure had not been covered completely after the cancellation of three categories of administrative charges. In addition, financing mechanism of public health service funds remained unclear.
    ConclusionWe recommend the strategies, including optimizing financing structure, increasing investment in disease control and prevention, increasing the level of financial guarantee, improving the mechanism of public health service funds, and multi-channel financing.

     

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