2015—2021年武汉市疾病预防控制机构财政投入状况分析

Analysis on Financial Input of Disease Prevention and Control Institutions in Wuhan from 2015 to 2021

目的:分析2015—2021年武汉市对疾病预防控制机构的财政投入状况,以期为疾病预防控制体系建设、改革和发展提供参考依据。方法:利用2015—2021年武汉市“卫生健康财务年报”“武汉统计年鉴”等数据进行统计学分析,根据现场调研所得数据及文献资料分析武汉市疾病预防控制机构存在的问题。结果:2015—2021年,武汉市疾病预防控制机构编制人数普遍偏低,中心城区疾病预防控制资源配置明显低于远城区;武汉市疾病预防控制机构财政投入总体提升,但投入增长率低于卫生财政总投入增长率;武汉市疾病预防控制机构财政投入波动性较大,增长率同地区生产总值增长率呈显著负相关;不同类型疾病预防控制机构财政投入占比差异较大。结论:要提高疾病预防控制机构编制人数,合理引导各区疾控资源配置,梳理市区两级疾病预防控制体系职责定位,建立健全财政投入保障机制,探索建立多渠道可持续的筹资机制。

Objective:To analyze the financial input of disease prevention and control institutions in Wuhan from 2015 to 2021,so as to provide references for the reform,construction and development of the disease control system.Methods:Based on Wuhan health annual report and statistical yearbook data indicators from 2015 to 2021,comprehensive statistical analysis was made to analyze the problems of disease prevention and control institutions in Wuhan according to the field survey data and literature.Results:From 2015 to 2021,the establishment staff of disease prevention and control institutions was generally low;while the allocation of disease control institutions resources in the central-urban area was obviously lower than that in the remote urban area;the total financial input of disease control institutions has generally increased,but the growth rate was lower than that of the total input in health;the financial input of disease control institutions was volatile,and the growth rate was negatively correlated with the growth rate of GDP;the proportion of financial input in different types of disease control institutions was quite different.Conclusion:It is necessary to increase the number of establishment staff of disease control institutions,reasonably guide the allocation of disease control institutions resources in each district,sort out the responsibility orientation of disease control system at both urban and district levels,establish and perfect the financial investment guarantee mechanism,and explore the establishment of multi-channel sustainable financing mechanism.