论文部分内容阅读
1992年我市进行财政体制改革,实行市、乡两级财政分灶吃饭,将乡镇卫生经费下切乡财政统一管理。经过两年多的实践证明,乡镇卫生经费下切弊大于利。 (一)乡镇卫生经费下切后拨款难以到位 乡镇卫生经费下切乡财政管理后,卫生经费到位十分困难。据我局调查,全市25个乡镇卫生院,1992年乡镇卫生经费实际拨款占应拨数的61.04％,最终只有10.76％。拨款进度在70％以下的卫生院有14个,占总数的56％;70％～99％的有6个,占24％;全部到位的只有5个,占20％。1993年乡镇卫生经费实际拨款占应拨数的63.92％,最低为零。拨款进度在70％以下的卫生院有12个,占总数的48％,70％～99％的有10个,占40％;全部到位的只有3个,占12.0％(见表1)
In 1992, the city carried out reform of the financial system and implemented fiscal and municipal food and cooking at the municipal and township levels. The township and township health funds were managed under the unified management of township finance. After more than two years of practice has proved that the township health funds cut more harm than good. (1) The funding for township and township health funds is not available after the cut. After the township and township health funds have cut the financial management of the township, it is very difficult for health funds to be available. According to investigations by the Bureau, 25 township health centers in the city accounted for 61.04% of the actual allocation of township health funds in 1992, and only 10.76% in the end. There are 14 hospitals with a progress rate of less than 70%, accounting for 56% of the total; 60% of 70% to 99%, accounting for 24%; and only 5, 20%. In 1993, the actual allocation of township health funds accounted for 63.92% of the allocated funds, with a minimum of zero. There are 12 hospitals with a progress rate below 70%, accounting for 48% of the total, 10% for 70% to 99%, and only 3% for the total number, accounting for 12.0% (see Table 1).