艾滋病防治国际合作项目资源配置分析  

Resource allocation analysis for international cooperation program for HIV/AIDS prevention and control

作　　者：李慧[1] 薛珲[1] 刘惠[1] 郭浩岩[1] 张桦[1] 孙江平[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京100050

出　　处：《中华预防医学杂志》2008年第12期888-891,共4页Chinese Journal of Preventive Medicine

基　　金：卫生部艾滋病防治应用性研究项目（WA2005-03）

摘　　要：目的了解中国艾滋病防治国际合作项目投入状况以及影响因素，为国际合作项目资源分配提供决策依据。方法收集中央和各省2000-2006年国际合作项目资源与分配相关数据，选择各省GDP、艾滋病病毒感染者和艾滋病患者（HIV／AIDS）数作为影响国际合作项目投入的因素，通过多因素回归分析计算他们与国际合作项目投入经费数量的相关性，在此基础上计算了各省需求Z值并与国际合作项目投入状况进行了比较。通过卡方检验计算艾滋病防治国际合作项目与中央经费在不同防治领域投入的一致性。结果2000-2006年国际合作项目投入地方的资金分别为489．30、2466．91、5056．65、5294．96、11214．31、36339．63和24704．53万元；投入中央的资金分别为300．65、1972．56、2903．52、3753．00、7749．99、10578．62和7703．54万元。各省国际合作项目的投入情况与HIV／AIDS数（R=0．56，P〈0．01）及艾滋病患者数（R=0．69，P〈0．01）的相关系数差异有统计学意义，但是与GDP之间差异无统计学意义（R=0．066，P=0．725）。各省的国际合作项目投入与需求并不完全对应，广东、山东、江苏的z值排名分别为3、5、6，而国际合作项目的经费投入排名仅为18、13、28。在监测（检测）、宣传教育干预、治疗关怀和其他领域的经费投入比例2005年中央经费分别为22．4％、19．7％、36．8％和21．1％，国际合作项目分别为11．5％、20．8％、10．4％和57．4％，2者比较差异有统计学意义（x^2=35．09，P〈0．001）；2006年中央经费分别为18．6％、23．8％、32．6％和25．0％，国际合作项目分别为14．0％、34．3％、17．1％和34．6％，2者比较差异有统计学意义（x^2=9．26，P=0．026）。说明国际合作项目与中央项目投入的侧重点不同。结论国际合作项目应该纳入国家和项目地区的整体防治工作，结合各地�Objective To provide evidence for resource allocation and cooperation between domestic and international HIV/AIDS programs in China by analyzing the needs and current levels of resource input in provinces. Methods National and provincial international cooperation program investment and allocation data from 2000 to 2006 were collected. Several factors in each province were analyzed through multiple regression analysis in order to determine whether they had a statistical correlation to the distribution of international HIV/AIDS program resources in China, including： the Gross Domestic Product （GDP） , the number of accumulated people living with HIV/AIDS, and the number of accumulated people living with AIDS. Then the Z values were calculated at each provincial level and compared with related international investment. The resource allocation in different program areas were compared with the level of resource input by international and central government HIV/AIDS prevention and control programs through Chi-square test. Results The international cooperation program investment at local level from 2000 to 2006 were 4893, 24 669,50 567,52 950,112 143,363 396 and 247 045 thousand RMB respectively, and at national level were 3007,19 726,29 035,37 530,77 500,105 786 and 77 035 thousand RMB respectively. There was a statistical correlation between international HIV/AIDS program resource input and the accumulated number of people living with AIDS （ R is 0. 56 and 0. 69 accordingly, and P 〈 0. 01 both ）. However, there was no statistical correlation between international resource input and the GDP of each province. International HIV/AIDS cooperation programs did not invest in each province according to its practical needs （ R = 0. 066, P = 0. 725）. The international cooperation program investments and needs in different province could not meet completely. The ranks of Z value in Guangdong, Shandong and Jiangsu were 3,5 and 6, but the ranks of international cooperation program in those provinces were 18, 13 and

关 键 词：HIV 国际合作 资源配置 

分 类 号：R686[医药卫生—骨科学]