疾病预防控制中心政府筹资职能缺位问题研究

目的明确为落实各项公共职能,我国政府对省、市、县疾病预防控制中心应追加的投入额度和投入方向。方法通过二阶段分层抽样方法选取样本疾病预防控制中心,获得政府财政对样本疾病预防控制中心经常性经费投入现状,比较其与疾病预防控制中心履行公共职能所需财政投入之间的差距。结果按照2003年的人力成本和物价水平,要落实疾病预防控制中心各项公共职能,我国政府需要在已有38.8亿元财政经常性经费投入基础上再追加304.9%,其中县级疾病预防控制中心需要追加的财政投入幅度最大,达到了416.1%。需要追加的财政经常性经费投入中,人员经费比例为32.2%,日常工作维持费比例为67.8%,其中县级疾病预防控制中心日常工作维持费比例达到了70.7%。结论我国政府对疾病预防控制中心的经常性经费投入缺口极大,需追加3～4倍方能满足工作所需。所追加的财政投入应侧重于日常工作维持费。

Study on insufficiency of government investment to the centers of disease prevention and control

ObjectiveTo make clear the superaddition of government investment to the centers of disease prevention and control(CDC) which will ensure fulfillment of public functions of the center of disease prevention and control. Methods Centers of disease prevention and control had been sampled by two-stage stratified sampling method to investigate the status of government investment to the centers of disease prevention and control, which would be compared with the expected government investment to fulfill the public functions of CDC. Results According to the cost of manpower and the price in 2003, the government should give another 304.9% investment than current government investment(3.88 billions).For CDC of county level, the superaddition rate even reached 416.1%. The percentage of manpower expense would be 32.2% and the percentage of routine expense would be 67.8% of the superaddtion of government investment. The percentage of routine expense even reached 70.7% of the superaddtion of government investment. Conclusion There was a big gap between the current government investment to CDC and the expected government investment to CDC. To fulfill the public function of CDC, the current government investment to CDC should increase by 3-4 times. The superaddition of government investment to CDC should be allocated more to the routine expense.