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我國艾滋病防治經(jīng)費投入分析與需求研究

發(fā)布時間:2018-02-28 23:06

  本文關(guān)鍵詞: 艾滋病 資源投入 需求 配置 預(yù)測 出處:《中國疾病預(yù)防控制中心》2009年博士論文 論文類型:學(xué)位論文


【摘要】:目的:系統(tǒng)描述與分析我國艾滋病防治經(jīng)費分配和使用的整體框架,結(jié)合未來資源需求預(yù)測,為我國今后開展相關(guān)工作提供依據(jù)提出建議。 方法:通過定量研究分析中央財政、地方財政和國際合作項目在不同省份、不同年度和不同工作領(lǐng)域的投入狀況。通過定性分析了解目前資源投入與分配過程中存在的困難和問題,并提出改進(jìn)建議。應(yīng)用Excel建立數(shù)據(jù)庫,利用SPSS13.0統(tǒng)計軟件進(jìn)行統(tǒng)計分析。采用描述性分析、單因素分析和多因素分析方法,并對不同來源經(jīng)費進(jìn)行致性檢驗。將原始數(shù)據(jù)導(dǎo)入選定模型,并設(shè)定參數(shù),計算未來資源需求。 結(jié)果:2003-2007年來自中央財政、地方財政和國際項目的投入分別約為36.5、20.3和18億元人民幣。經(jīng)費總量隨著政策、人均GDP和疫情的增加而增加,總體呈上升的趨勢。整體上各省經(jīng)費投入與需求之間存在整相關(guān)(其中2006年R=0.922,P0.01,2007年R=0.948,P0.01)。目前全國所有縣市都已被防治經(jīng)費所覆蓋。中央財政與國際合作項目經(jīng)費分配的重點領(lǐng)域各有特點(其中國家級層面X2=21839,P0.01,省級層面X2=246555,P0.01) 目前各項工作取得顯著的成效,但有效干預(yù)的覆蓋面還普遍偏低。各級財政投入撥付時間長,缺乏針對性強(qiáng)的項目管理要求、監(jiān)督評估、審計及風(fēng)險分析等,但可持續(xù)性相對較好,在防治工作中起到主要作用。按照亞洲艾滋病防治委員會推薦的步驟,結(jié)合艾滋病防治資源需求預(yù)測軟件,預(yù)計我國2009-2015年需要約204億元人民幣用于艾滋病防治工作。 結(jié)論:目前我國已經(jīng)初步建立起以政府投入為主導(dǎo)的艾滋病防治經(jīng)費長效籌資機(jī)制。各級政府和國際投入對遏制我國艾滋病的流行起到了關(guān)鍵作用。應(yīng)鼓勵地方充分參與中央財政經(jīng)費計劃制定,并保證足夠的靈活性和可操作性。有必要建立和完善適合我國國情的需求預(yù)測模型與體系。
[Abstract]:Objective: to describe and analyze the overall framework of the allocation and use of HIV / AIDS funds in China, and to provide suggestions for the future work in China. Methods: through quantitative analysis of central finance, local finance and international cooperation projects in different provinces, Through qualitative analysis, the difficulties and problems existing in the process of resource input and allocation are analyzed, and suggestions for improvement are put forward. The database is established by using Excel. The statistical analysis is carried out by SPSS13.0 software. The methods of descriptive analysis, single factor analysis and multivariate analysis are used. The original data are imported into the selected model and the parameters are set. Calculate future resource requirements. Results from 2003 to 2007, the input from central finance, local finance and international projects was about 36.5 yuan 20.3 and 1.8 billion yuan respectively. The total amount of funds increased with the increase of policy, per capita GDP and epidemic situation. On the whole, there is an overall correlation between the provincial funds input and demand (2006, RP0. 922, P 0. 01, 2007, R0. 948, P0. 01). At present, all counties and cities in the country have been covered by the funds for prevention and control. The central finance and the allocation of funds for international cooperation projects have been covered. Each of the priority areas has its own characteristics (among them, at the national level, X2O 21839, P0.01, and at the provincial level, X2C246555V, P0.01). At present, remarkable achievements have been made in various work, but the coverage of effective intervention is still generally low. The financial input at all levels has been allocated for a long time, and there is a lack of targeted project management requirements, supervision and evaluation, audit and risk analysis, etc. But the sustainability is relatively good and plays a major role in the prevention and treatment. According to the steps recommended by the Asian AIDS Commission, combined with the AIDS prevention and control resource forecasting software, China is expected to need about 20.4 billion yuan in 2009-2015 for AIDS prevention and treatment. Conclusion: at present, China has preliminarily established a long-term funding mechanism for AIDS prevention and control, which is dominated by government input. Government at all levels and international investment have played a key role in curbing the AIDS epidemic in China. To participate fully in the formulation of the central financial expenditure plan, It is necessary to establish and perfect the demand forecasting model and system suitable for China's national conditions.
【學(xué)位授予單位】:中國疾病預(yù)防控制中心
【學(xué)位級別】:博士
【學(xué)位授予年份】:2009
【分類號】:R183

【引證文獻(xiàn)】

相關(guān)期刊論文 前1條

1 吳迪;崔巖;周洪梅;張恒;單多;張雄偉;李田舒;姚新蕾;孫江平;;云南艾滋病防治專項經(jīng)費分配影響因素分析[J];中國公共衛(wèi)生;2012年04期

相關(guān)碩士學(xué)位論文 前2條

1 董喻婷;我國艾滋病生活救助研究[D];云南大學(xué);2012年

2 謝明希;艾滋病防控中的資源分配難題及對策研究[D];昆明理工大學(xué);2013年



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