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目的:为合理利用卫生防病经费资源提供依据。方法:对“江浙粤三省卫生年鉴和疾病预防控制中心年鉴”数据进行比较研究。结果:①2005年与2002年相比,江苏省卫生事业费增加了57.72%,但防治防疫事业费下降了11.37%;浙江省的卫生事业费和防治防疫事业费均增加了1倍多;广东省卫生事业费和防治防疫事业费增加了47.96%、126.47%;②经费投入构成上,江苏和浙江主要疾病预防控制手段,尤其是仪器设备的投入较大(分别为78.08%、60.23%),而广东以房屋投入为主(61.58%)。江苏省公用、经常性业务(包括机构职工人均业务费)和人头经费(包括工资、福利、奖金)远低于其他两省。③三省都以政府财政和上级补助为主,以广东省为最高。但服务收入江苏市县级机构最高。2002年～2003年三省总收入的增长速度均高于地区GDP的增长速度,以2003年最高。结论:2001年～2005年江苏省政府卫生投入显著增加,但对防治防疫事业的投入与浙江、广东相比尚有差距;江苏政府投入主要侧重于硬件和专项经费,经常性业务经费和人头经费的投入相对不足。因此必须根据实际情况,对疾病预防控制进行合理有计划的长效投入。
Objective: To provide the basis for making rational use of funds for health and disease prevention. Methods: A comparative study was conducted on the “Yearbook of Health Almanacs and Centers for Disease Control and Prevention” in Jiangsu, Zhejiang and Guangdong provinces. Results: (1) Compared with 2002, health care expenses in Jiangsu Province increased by 57.72%, but prevention and epidemic prevention expenses dropped by 11.37%; health care expenses and epidemic prevention expenses in Zhejiang Province more than doubled. Guangdong Province Health care expenses and prevention and epidemic prevention expenses increased by 47.96% and 126.47% respectively; (2) Composition of funding inputs, prevention and control of major diseases in Jiangsu and Zhejiang provinces, especially equipment and instruments (78.08% and 60.23% respectively) Housing investment in Guangdong mainly (61.58%). The public and recurrent business (including the per capita operating expenses of the staff and workers) and head expenses (including wages, benefits and bonuses) in Jiangsu Province are much lower than those in the other two provinces. ③ The three provinces are mainly government grants and higher subsidies, the highest in Guangdong Province. However, the highest service income in Jiangsu county-level agencies. From 2002 to 2003, the growth rate of total revenue of the three provinces was higher than that of regional GDP, the highest in 2003. Conclusion: The government investment in health care in Jiangsu Province increased significantly from 2001 to 2005, but there was still a gap between Zhejiang and Guangdong in the prevention and control of epidemic prevention. The government investment in Jiangsu mainly focused on hardware and special funds, recurrent business and head expenses The relative lack of input. Therefore, according to the actual situation, we must make a reasonable and planned long-term investment in disease prevention and control.