定量论证城市疾病防制机构投入机制

A Quantitative Demonstration on the Compensation Mechanism of Institutions of Disease Control and Prevention in Urban Areas

运用1986—2010年我国大、中、小城市疾病防制机构数据论证发现,财政投入普遍增加,2002年之前财政投入缺口逐渐增大,2003年开始财政投入没有缺口,但2008年后又出现投入缺口。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,除了2002—2003年中城市以外,2002—2005年,有偿服务膨胀责任普遍全在机构自身,2008年开始呈现不同地区不同年份波动较大的状况,大城市到2010年表现为全部财政责任,中城市从全部财政责任演化为全部机构责任,小城市变化规律与中城市类似。总之,城市疾控机构财政投入状况正在改善,但稳定性不足且地区差异大,因此,探索建立适合地区特点的、稳定适宜的投入保障机制是未来完善投入机制的重点。

The paper use data from institutions of disease control and prevention of big, middle, and small cities in China from 1986 to 2010 to demonstration quantitatively the compensation mechanism. The results illustrate that the finance input of institutions of dis-ease control and prevention of big, middle and small cities in China is improving, but there is lack of stability and shows big regionaldifference, so the key point of consummating compensation mechanism is to set up an mechanism with characteristics of appropriate-ness, suiting local areas＇ feature and stability.