卫生医疗服务的地区结构失衡主要体现在中央与地方两投入主体之间的分配不均衡。2000年中央财政卫生事业费为7.32亿元,占国家卫生事业费的比重为1.49%;地方财政卫生事业费为482.39亿元,占国家卫生事业费的比重为98.51%,中央承担的卫生支出过少,地方的卫生支出压力过大。这样的分权不利于卫生事业的发展,同时加剧了地区间的支出结构失衡。财力雄厚的地区,人们享有的公共医疗服务就多,财政困难的地区,人们的公 The imbalance in the regional structure of health care services is mainly reflected in the imbalance in the distribution between the two main players in the central and local governments. In 2000, the financial expenditure of the central government was 7.32 billion yuan, accounting for 1.49% of the state’s total health expenditure; that of the local financial and public health was 48.239 billion yuan, accounting for 98.51% of the national health expenditure, and that the central government’s health expenditure Fewer local health spending pressures. Such decentralization is not conducive to the development of health undertakings, while exacerbating the imbalance in the expenditure structure among regions. Financially rich areas, people have more public health services, financially difficult areas, people’s public