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笔者去年有幸参加了江苏省从省站至部分市、县站1996年对省控卫生防病专项经营管理情况的调研。从调研情况看,确实存在卫生资源投入不足与浪费并存的现象。例如,这次调研的卫生防疫站(除省站外)1996年人员经费占拨入经费(含专项经费)的平均比率为104,从这个数据来看,可以这么说,财政拨款(含专款)仅能解决吃饭问题,而公用经费支出靠有偿服务收入或其它方面收入弥补。所以,不少市县站没有对专项经费单独进行预算及核算,而对于以实物形式下发的计划免疫疫苗和消毒药品的管理有些站却管理不善,存在不同程度的浪费现象。为此,笔者认为,目前卫生防疫资源确实严重不足,但如果调配不当,造成资源的闲置和浪费,那损失就更大。我们要向管理要效益,杜绝各种损失和浪费。在当前卫生事业资源呈多元化发展趋势下,我们卫生防疫部门更要加强单位预算管理,尤其是专项经费的预算管理。
Last year, the author had the privilege of participating in the investigation of the special operation and management of provincial health prevention and control in Jiangsu Province from the provincial station to some city and county stations in 1996. From the survey situation, there are indeed phenomena of insufficient investment in health resources and waste. For example, the average ratio of personnel expenditures for funds (including special funds) at the health and epidemic prevention stations (in addition to provincial stations) surveyed in 1996 was 104. From this data, it can be said that financial appropriations (including special funds) Only solve the problem of eating, and public expenditures are compensated by income from paid services or other income. Therefore, many cities and counties do not have separate budgets and accounting for special funds, but there are some stations in the management of planned immunization vaccines and disinfected drugs issued in kind, but they are not well managed and there are different degrees of waste. To this end, the author believes that the current health and epidemic prevention resources are indeed seriously insufficient, but if the deployment is improper, resulting in idle and waste of resources, then the loss is even greater. We need to benefit from management and eliminate all kinds of losses and waste. In the current trend of diversified development of health care resources, our health and epidemic prevention departments must strengthen unit budget management, especially budget management of special funds.