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

【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。

[Objective]To 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.[Methods]Financial 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.[Results]The 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[.Conclusion]We 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.