| 引用本文：朱立国, 陆耀良, 程宗明, 周明浩.取消行政事业性收费对疾控机构服务开展和运行的影响研究——基于江苏102市县的调查数据[J].中国卫生政策研究,2018,11(8):80-83 |
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| 取消行政事业性收费对疾控机构服务开展和运行的影响研究——基于江苏102市县的调查数据 |
| 投稿时间：2017-12-13 修订日期：2018-06-14 PDF全文浏览 HTML全文浏览 |
| 朱立国, 陆耀良, 程宗明, 周明浩 |
| 江苏省疾病预防控制中心 江苏南京 210009 |
| 摘要:目的：了解在取消行政事业性收费政策实施后，江苏省疾控机构相关技术服务开展情况。方法：开展市县两级机构普查，实际调查102家机构（设区市13家、县（市、区）89家），调查总应答率为90.2%。结果：政策实施后，分别有61.8%和88.4%的机构认为卫生检测和从业人员体检工作量相对去年持平/增长。目前仅16%的机构有政府补偿，部分机构出现人员收入下降、人员流出部门或单位、仪器更新和维护受到影响。相对于未得到财政相应补偿的机构，那些有财政补偿的机构上述影响得到一定的缓解。疾控机构为了良性运转，积极争取增加政府投入，加大科研合作等。结论：各机构严格按政策执行，相关服务工作量上升明显，对聚焦防病卫生主业产生一定的影响。建议建立稳定的财政投入机制，疾控机构可采取科研合作、人员兼职兼薪、大型仪器共享等方式，培育和规范第三方市场，为提高人民群众健康水平提供技术支持。 |
| 关键词:取消行政性事业收费 疾病预防控制 技术服务 |
| 基金项目:国家自然科学基金面上项目（81502861）；江苏省青年医学重点人才（QNRC2016546） |
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| Impact of the cancellation of administrative and institutional charges on the service development and organization operation of centers for disease control and prevention——Based on survey data of 102 district and county level institutions in Jiangsu Province |
| ZHU Li-guo, LU Yao-liang, CHENG Zong-ming, ZHOU Ming-hao |
| Jiangsu Provincial Center for Disease Control and Prevention, Nanjing Jiangsu 210009, China |
| Abstract:Objective:To understand the situation of carrying on policy-related technological service of centers for disease control and prevention(CDC) in Jiangsu Province after cancelling the administrative and institutional charges. Methods:The research surveyed 102 institutions in 13 districts, which accounted for 90.2% of the entire district and county-level CDC in Jiangsu Province. Results:After the implementation of administrative and institutional fees cancellation policy, 61.8% and 88.4% of CDC respectively considered that the workload of personnel healthy check-up and medical examinations would be more than or equal compared to the last year. At present, only 16% of CDC were subsidized by government accordingly. Therefore, a part of CDC have experienced a decline in staff income, outflow of technical staff from department or institution units, and the renewal and maintenance of equipment was affected as well. Compared with institutions that have not received the corresponding financial compensation, those that received the compensation will be relieved. In order to realize normal development of CDC, most of them continue to strive for increasing government's financial input, enlarge the cooperation in scientific research and so forth.Conclusions:All of CDC strictly implemented according to the government policies and their workload increased significantly. However, it certainly affected the key role of CDC. It is hence suggested to establish a stable financial input mechanism. The CDC need to take effective actions, such as increasing scientific research, cooperation, attempting part-time and casual jobs, and sharing large-scale equipment to standardize the third-party markets and provide technical support for improving the people's health. |
| Key words:Administrative and institutional fees cancellation Disease control and prevention Policy-related technical service |
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