江西省疾病预防控制体系建设财政经费保障情况分析

Analyzing Financial Security Situation of Disease Prevention and Control System Construction in Jiangxi

目的:了解江西省疾病预防控制体系建设财政经费保障现状及存在的问题,为推进江西省疾病预防控制体系工作持续、快速、健康发展提供科学依据。方法:采用问卷调查、小组讨论、现场调查相结合的方法对江西省112个疾病预防控制中心的财政收入情况进行调查分析。结果:政府财政投入逐年增加,但对日常工作经费和人员经费的投入力度不足,部分疾控机构的公用和经常性业务经费,仍然主要靠有偿服务收入维持。结论:应进一步加大财政结构调整,增加疾控事业投入,改变政府现有对疾病预防控制机构的拨款方式,将财政拨款模式改为"购买制",给公共产品合理定价,政府代表人群按服务数量和种类向疾病预防控制机构购买服务。

Objective： To understand current situation and existing problems in financial security of the center for disease control and prevention system in Jiangxi, to provide scientific references for advancing continuous, fast and healthy development of the system. Methods： combining three methods of questionnaire, group discussions and field surveys to investigate the situation of financial income from 112 centers of disease control and prevention in Jiangxi. Results： The government finance investment increased by year, but the funds of daily work and personnel is insufficient, public and regular business funds of some institution still depend on paid service income. Conclusion： It needs to further enhance financial structure adjustment and disease control investment, increase disease control input, change government appropriation method for disease prevention and control institutions, change the government＇ s funding mode to ＂purchase system＂ , reasonably prieing public product, the government on behalf of the people buying services according to quality and quantity from the disease prevention and control institutions.