我国艾滋病防治经费投入分析与需求研究

发布时间：2018-02-28 23:06

本文关键词： 艾滋病资源投入需求配置预测　出处：《中国疾病预防控制中心》2009年博士论文　论文类型：学位论文

【摘要】：目的：系统描述与分析我国艾滋病防治经费分配和使用的整体框架,结合未来资源需求预测,为我国今后开展相关工作提供依据提出建议。方法：通过定量研究分析中央财政、地方财政和国际合作项目在不同省份、不同年度和不同工作领域的投入状况。通过定性分析了解目前资源投入与分配过程中存在的困难和问题,并提出改进建议。应用Excel建立数据库,利用SPSS13.0统计软件进行统计分析。采用描述性分析、单因素分析和多因素分析方法,并对不同来源经费进行致性检验。将原始数据导入选定模型,并设定参数,计算未来资源需求。结果：2003-2007年来自中央财政、地方财政和国际项目的投入分别约为36.5、20.3和18亿元人民币。经费总量随着政策、人均GDP和疫情的增加而增加,总体呈上升的趋势。整体上各省经费投入与需求之间存在整相关(其中2006年R=0.922,P0.01,2007年R=0.948,P0.01)。目前全国所有县市都已被防治经费所覆盖。中央财政与国际合作项目经费分配的重点领域各有特点(其中国家级层面X2=21839,P0.01,省级层面X2=246555,P0.01) 目前各项工作取得显著的成效,但有效干预的覆盖面还普遍偏低。各级财政投入拨付时间长,缺乏针对性强的项目管理要求、监督评估、审计及风险分析等,但可持续性相对较好,在防治工作中起到主要作用。按照亚洲艾滋病防治委员会推荐的步骤,结合艾滋病防治资源需求预测软件,预计我国2009-2015年需要约204亿元人民币用于艾滋病防治工作。结论：目前我国已经初步建立起以政府投入为主导的艾滋病防治经费长效筹资机制。各级政府和国际投入对遏制我国艾滋病的流行起到了关键作用。应鼓励地方充分参与中央财政经费计划制定,并保证足够的灵活性和可操作性。有必要建立和完善适合我国国情的需求预测模型与体系。
[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.
【学位授予单位】：中国疾病预防控制中心
【学位级别】：博士
【学位授予年份】：2009
【分类号】：R183

【引证文献】