定量论证我国疾病防制机构投入机制

A Quantitative Demonstration on the Compensation Mechanism of National Institutions of Disease Control and Prevention

运用1986—2010年全国疾病防制机构数据论证发现,2003年开始财政投入没有缺口,但2008年又重新出现明显缺口,尽管2008年之后缺口逐年减少,至2010年仍有数十万元的缺口。从有偿服务支出占疾病防制机构业务支出的比重变化来看,2003年之前全国疾控机构服务重点逐渐往有偿服务上转移,2003年之后重点则往无偿服务上转移。在扣除物价因素后,2002年之前的有偿服务膨胀责任主要归因于财政投入不足,由于财政投入基本没有缺口的原因,2002—2005年责任基本全在机构自身,2008—2009年基本全是财政因素影响,2010年则又以自身因素为主（58.9%-62.8%）。

After analyzed the data of national institutions of disease prevention and control in 1986—2010,it showed that there hadbeen no gap of government financial input from 2003, but it reappeared in 2008, then the government increase investment after2008,however,there were still about hundreds of thousands of RMB gap in 2010. From the viewpoint of the proportion of revenueby fee-for-service, the institutions of disease prevention and control paid more attention to fee-for-service before 2003, but theyturned to pay more attention to free service after 2003. The inflation of fee-for-service could be mostly attributed to the insufficiencyof government financial input before 2002,in 2002—2005 it was mainly due to the institutions itself,2008—2009 financial factorsreturned,and the institution itself became the main factors again（58.9%-62.8%）.