运用NHA方法分析我国艾滋病防治经费的筹集与分配

发布时间：2018-06-24 07:47

本文选题：艾滋病 + 防治经费　；参考：《大连医科大学》2006年硕士论文

【摘要】：研究目的：观察我国中央补助地方及国际合作项目艾滋病防治经费的投入总量、变化趋势、使用领域等；描述部分省(区、市)艾滋病防治经费各筹资来源和使用领域所占的比例；验证防治经费的筹集和使用与艾滋病流行情况及当地经济状况的相关性；分析艾滋病防治经费的筹集、分配和使用的公平性、合理性，，为进一步完善我国艾滋病防治经费的筹集、分配和使用提供理论依据和政策建议。研究方法：选择2003—2005年中央补助地方艾滋病防治经费、部分省(区、市)全口径艾滋病防治经费，以及国际合作项目经费、艾滋病个人自付费用作为研究对象。采用描述性分析方法分析中央财政和部分省份艾滋病防治经费的分配、筹集和使用情况，部分结果作x~2检验。对艾滋病流行情况、主要传播途径、经济发展状况等因素与艾滋病防治经费的投入进行相关性统计分析。评价人均及感染者／病人人均艾滋病防治经费公平性时对防治需求指数(Aids Resources NeedsIndex)进行排序，绘制洛伦茨曲线(Lorentz Curve)，并计算基尼系数(Gini Coefficient)。运用NHA(国民卫生账户)方法建立筹资来源×使用领域的二维矩阵，描述、分析样本省份艾滋病防治总经费的筹集和使用。研究结果：中央财政艾滋病防治专项经费(包括中央补助地方经费)投入呈逐年上升趋势，且与艾滋病年病例报告数呈高度正相关。在艾滋病防治经费的使用领域方面，2003—2005年，用于预防干预的经费比例均高于治疗经费。对17省(区、市)艾滋病防治总经费筹资来源的分析结果显示，2003年-2005年，中央补助地方投入占38.3％，地方政府投入占24.2％，
[Abstract]:Objective: to observe the total amount of investment, changing trend, using field and so on of the AIDS prevention and control funds of the central government subsidizing local and international cooperation projects, and to describe some provinces (regions). The proportion of various sources of funding and areas of use of funds for AIDS control and prevention; to verify the relevance of the collection and use of funds for prevention and treatment to the HIV / AIDS epidemic and the local economic situation; and to analyse the raising of funds for the prevention and treatment of HIV / AIDS, The fairness and rationality of distribution and use provide theoretical basis and policy suggestions for further improving the raising, distribution and use of AIDS prevention and treatment funds in China. Methods: from 2003 to 2005, the central government subsidized the local AIDS prevention and control funds, some provinces (districts, cities) full caliber AIDS prevention and control funds, as well as the international cooperation project funds, the AIDS individual pays the expense as the research object. A descriptive analysis method was used to analyze the distribution, collection and use of AIDS control funds in central finance and some provinces, and some of the results were tested by x2 test. The relationship between HIV / AIDS prevalence, main transmission routes, economic development and the expenditure on AIDS prevention and treatment was analyzed statistically. The Aids Resources needs Index is sorted, Lorentz curve is drawn and Gini coefficient is calculated. Using the NHA (National Health account) method to establish the two-dimensional matrix of the funding source 脳 using field, describe and analyze the collection and use of the total funds for AIDS prevention and control in the sample provinces. The results showed that the special funds of the central finance for AIDS prevention and treatment (including the central subvented local funds) had an increasing trend year by year and had a high positive correlation with the number of AIDS cases reported annually. From 2003 to 2005, the proportion of funds spent on prevention and intervention was higher than that on treatment. An analysis of the total funding sources of HIV / AIDS prevention and control in 17 provinces (districts and municipalities) shows that from 2003 to 2005, the central government subsidized local investment accounted for 38.3% and local government input accounted for 24.2%.
【学位授予单位】：大连医科大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R184

【引证文献】