我国省级疾病预防控制中心预算比较研究  

Comparison on Publishing Budget of Provincial Centers for Disease Control and Prevention in China

作　　者：黄烈雨 刘娜娜 赖程昱 陈浩[1] 陈宝姗 郭岩[1] HUANG Lie-yu;LIU Na-na;LAI Cheng-yu(Office of Policy Planning and Research,China Center for Disease Control and Prevention,Beijing,1102206,China;不详)

机构地区：[1]中国疾病预防控制中心政策规划研究室,北京102206 [2]中国疾病预防控制中心人事处,北京102206 [3]中央财经大学统计与数学学院,北京100081

出　　处：《中国卫生经济》2022年第2期49-56,共8页Chinese Health Economics

基　　金：中央财政-中国CDC公共卫生应急反应机制的运行项目(131031001000200001)。

摘　　要：目的:对我国大陆地区各省级疾病预防控制中心2021年的单位预算收支数据进行分析对比,反映资金投入、管理中的问题,促进省级疾控中心预算编制及公开工作的改进完善。方法:采用网络检索的方式收集已公开的我国大陆地区所有省级疾控中心2021年的预算收支数据、结构等指标,整理后进行分析,并结合当地人口数据采用基尼系数进行公平性分析。结果:共查得27个省份的省级疾控中心预算收支数据。大多数省级疾控中心预算收入占该省卫生健康委员会部门预算收入的比例集中在0.5%~1.5%之间;省级疾控中心预算收入的整体公平性有待改善。多数省级疾控中心预算收入以“本年收入”中的“一般公共预算”为主要来源;绝大多数省级疾控中心预算支出的“卫生健康支出”类级科目占整体支出的80%以上,对“科学技术支出”“教育支出” 2项类级科目关注不足;“公共卫生”是“卫生健康支出”下普遍占比最高的款级科目,而不同省级疾控中心“公共卫生”下的各个项级科目结构差异较大。省级疾控中心的人均预算经费排序与人均工资福利预算基本支出排序并不对应。结论:省级疾控中心预算收入总量上未能得到地方政府足够重视,与“预防为主”工作方针有所差异。各个省级疾控中心预算收入的分配出现明显不公平。不同省级疾控中心预算收支结构差异较大,需要规范的引导,且预算收支公开质量有待提高;长远来看可借鉴国际上由部门预算向规划预算发展的经验,整合政府责任。Objective:To reflect the problems in the investment and the management of budget(Unit),and improve the budgeting and the disclosure of Provincial Center for Disease Control and Prevention(CDC) in China’s mainland through analyzing and comparing the publishing 2021 budget of provincial CDCs.Methods:The publishing 2021 budget of all provincial CDCs were obtained from network.Gini coefficient,combining the budget and the corresponding local population data,wasused for equity analysis.Results:A total of 27 provincial CDCs published their 2021 budget.The ratio values of provincial CDC budget to provincial Health Commission department budget were mainly between 0.5% and 1.5%.The overall equity of provincial CDCs budget needed to be improved.The budgetary revenue of most provincial CDCs was mainly derived from the General Public Budget in the Current Year Revenue.Health Expenditure at class level in budget of overall budgetary expenditure were more than 80% for the majority of provincial CDCs,while science and technology expenditure,and education expenditure at class level were lack of attention.Public Health generally accounted for the highest percentage at sub-class level of health expenditure for all provincial CDCs,while the budget structure of public health varied from each other.The budgetary expenditure per capita ranking did not correspond with salary and welfare per capital ranking.Conclusion:The budget revenue of most provincial CDCs went unheeded by local government,which did not coincide with "Prevention Centered Policy".There was obvious unfair distribution of budgetary revenue for overall provincial CDCs.The budget structure varied from one provincial CDC to another,waiting for the standardized guidance.The quality of budget disclosure needed to be improved.In the long run,government responsibilities of health could be integrated in accordance with the international experience of planning budget.

关 键 词：省级疾病预防控制中心 预算管理 基尼系数 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F224.5[经济管理—国民经济]