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引用本文:贾金忠,张和龙,郭伟龙,等.中国农村地区政府卫生投入现状分析[J].中国卫生政策研究,2011,4(10):7-11
中国农村地区政府卫生投入现状分析
投稿时间:2011-08-03  修订日期:2011-09-05  PDF全文浏览  HTML全文浏览
贾金忠1, 张和龙2, 郭伟龙2, 杨蕾2, 段琳2, 庾波2, 王志锋2
1.北京大学研究生院医学部分院;2.北京大学公共卫生学院
摘要:目的:了解我国农村地区政府对卫生投入的现状,分析存在的问题并提出政策建议。方法:对400个县级行政单位进行调查,并对其政府卫生投入数据进行统计分析。结果:所有参评县政府卫生投入总量显著增长,相比经常性财政支出仍然不足,且不同年份间政府卫生投入波动较大;乡村两级卫生投入不足;政府对公共卫生的投入缺乏,人均基本公共卫生服务经费落实困难。建议:建立稳定长效的投入机制,继续加大各级政府对农村卫生的投入力度;调整卫生经费投入去向,重点支持基层卫生机构发展;提高人均基本公共卫生服务经费水平,推动基本公共卫生服务均等化进程。
关键词:农村卫生  卫生投入  财政支出  公共卫生
基金项目:卫生部农村卫生管理司资助项目
Analysis of government rural health investment in China
Abstract:Objective: This article is to understand the status quo and problems and to give policy suggestions of government rural health investment in China. Methods: To investigate 400 county level administrative units and analyze collected data of health investment. Results: Total amount of government health investment has gained steady growth, but is still insufficient compared with expenditure, and health investment showed huge fluctuation cross three years; town and village level investment is less than that of county level, investment of public health service is insufficient. Recommendation: To increase health investment from the government in rural regions, increase government public health service input; to adjust health expenditure structure, and increase investment in town and village levels; to increase financial transfer payments to impoverished areas in middle and western regions, in order to reduce regional differences and promote regional health development.
Key words:Rural health  Health investment  Public financial expenditure  Public health
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