改革开放以来,在经济比较发达地区的基层卫生防疫机构基本上或完全摆脱了经济短缺的状态,这是政府实施财政拨款与创收补偿相结合的二元补偿机制的明显的结果。但是,事实证实,经济不短缺不等于工作不短缺。作为公共机构的卫生防疫单位的社会职能同行使职能的附加有偿服务有着明显的功能转换的差异,使单位的经济效益与社会职能之间产生矛盾。在群体利益的驱动下,极易出现创收倾斜和扩 Since the reform and opening up, basic health and anti-epidemic agencies in more economically developed regions have basically or completely escaped the state of economic shortage. This is the obvious result of the dual compensation mechanism that the government has implemented in combination with financial appropriations and income-generating compensation. However, the facts confirm that the lack of an economy does not mean that there is no shortage of work. As the public function of the public health and disease prevention unit of the public agency, the additional paid services of the function have obvious differences in the function conversion, which causes contradictions between the economic benefits of the unit and the social functions. Driven by the interests of groups, it is prone to income generation tilt and expansion.