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目的评价2006-2008年不同农村卫生监督模式的县级卫生监督机构经费来源情况,为健全基层卫生监督体系提供科学依据。方法采用分层抽样的方法,用调查表调查12个样本县卫生监督机构2006-2008年卫生监督经费来源情况。结果四种不同模式各模式总平均卫生监督经费以财政拨款所占比例最大,占53.5%;服务收入次之,占43.6%;2006-2008年四种模式间的人均财政拨款均为增长趋势;不同模式间人均财政拨款差异有统计学意义(F=23.74,P=0.00)。2006-2008年专项经费来源于中央(即中西部项目)、省、市(州)、县级拨款所占比例分别为10.0%、22.8%、25.5%、41.7%,且四种不同模式的专项经费拨款来源构成差异有统计学意义(F=3.97,P=0.035)。结论 2006-2008年四种模式间的人均财政拨款均为增长趋势,但服务收入所占比例超过40%,与卫生监督机构的公益性质相矛盾。建议政府增大财政投入,优化卫生监督经费渠道。
Objective To evaluate the funding sources of county-level health supervision agencies in different rural health surveillance modes from 2006 to 2008, and provide a scientific basis for the improvement of grass-roots health surveillance system. Methods A stratified sampling method was used to investigate the sources of health supervision funding of 12 sample county health supervision agencies from 2006 to 2008 with a questionnaire. Results The average funding for health supervision in each of the four different modes accounted for the largest proportion of financial allocations, accounting for 53.5% of the total. The second was income from services, accounting for 43.6% of the total. The per-capita financial allocations for all four modes were increasing from 2006 to 2008. The per capita financial allocation among different modes was statistically significant (F = 23.74, P = 0.00). The special funds for 2006-2008 came from central government (ie Midwest), provincial, municipal (prefecture) and county-level appropriations accounted for 10.0%, 22.8%, 25.5% and 41.7% respectively, with four different modes There were significant differences in funding sources (F = 3.97, P = 0.035). Conclusions Per capita financial appropriation among the four modes is increasing trend from 2006 to 2008, but service income accounts for more than 40%, contradicting the commonweal nature of health supervision agencies. It is suggested that the government should increase financial input and optimize channels for health supervision.