2019—2021年潍坊市基层卫生服务机构收支水平和结构

目的以山东省潍坊市为例,分析2019—2021年基层卫生服务机构收支水平和结构的变化趋势及不同特征机构的差别,了解突发重大传染病疫情给基层卫生服务机构带来的挑战,为进一步加强基层卫生体系建设提供建议。方法收集潍坊市2019—2021年基层卫生服务机构数据,分析收入总额和结构、支出总额和结构、收支结余的变化趋势,以及不同特征基层卫生服务机构的收支变化差别。结果2019—2021年,潍坊市基层卫生服务机构的总收入保持增长趋势,2019—2020年医疗业务收入增长率相对较低。基层卫生服务机构支出增长率逐年提高,公共卫生支出增长率明显高于医疗支出增长率。3年间,基层卫生服务机构亏损减少并得到扭转。医疗收入受影响最大的是医疗服务能力较低的机构。财政补助收入变化程度最大的是覆盖人口数多、承担公共卫生工作量较多的机构,并且这类机构亏损最严重。结论医疗业务收入增长受疫情冲击最大,此时,财政补助收入的高增长率对维持机构经济平稳运行起到重要作用,但财政补助投入仍需要长效机制的支持。在高公共卫生支出背景下,须关注公共卫生工作量大的基层卫生服务机构的亏损问题。财政投入在发挥兜底功能的同时,应着重用于提高基层卫生服务机构的医疗业务能力。

Fiscal Sustainability:Public Revenue-Expenditure Nexus in a Few Asymmetric Countries in the Globe

This article examines the public revenue and expenditure patterns and its nexus of a few countries.This paper employs panel unit root,panel cointegration and Vector Error Correction Model to analyze the inter-temporal association among the variables of government revenues,expenditures and the growth of GDP through the panel data of ten divergent nations over the period 2001 to 2017.The study exercised three cointegration tests and these estimates find the evidence of long run association among articulated three variables.To know the cross-section status of different nations this paper diverted Phillips-Peron test with bandwidth statistics and it asserted that,all ten countries secured the long run association among the variables.The study uncovered that,growth of GDP has escalated in 0.78%by one percentage increase in revenue expenditure;meanwhile,1.41%lessening in GDP growth by one percentage increase in revenue income.The specified model is supported by a few diagnostic tests.