【摘要】 目的　论证中国疾病预防控制体系公共职能偏废的原因。方法　查阅 1990～ 2 0 0 1年国内 8种主要卫生管理杂志 ,得相关文献 2 0 5篇 ,运用边界分析方法归纳我国疾病预防控制体系公共职能偏废的各种原因 ,并进一步运用意向问卷调查了 15 4所省、市、县疾病预防控制中心 (CDC)对疾病预防控制体系公共职能偏废原因的认识。结果　文献归纳表明 ,中国政府对疾病预防控制体系投入总量不足且投入方式低效 ,对此 ,99.3%的样本CDC表示同意 ;之所以有偿服务成为各级疾病预防控制中心的工作重点是因为允许资金自筹的财政管理机制 ,对此 ,96 .0 %的样本CDC表示同意。结论　我国疾病预防控制体系存在政府筹资和管理职能缺位现象 ,两者交互作用 ,导致公共职能偏废。更多还原

【Abstract】 Objective\ To demonstrate the cause of public health service delivery insufficiency of disease prevention and control system of Chin a. Methods 205 literatures in 8 national academic journals conc erning health service management have been reviewed. The method of boundary anal ysis has been employed to conclude the various causes of public health service d elivery insufficiency of disease prevention and control system of China. Results Literatures review demonstrate d that the financing from government to disease prevention and control system of China was insufficiency and show lower efficiency, which has been agreed by 99. 3% of CDC. Literatures review demonstrated that the financing administration ide a of permitting charging service caused the fee-for-service played a key role in the economic reimbursement of various levels of CDC, which has been agreed by 9 6.0% of CDC. Conclusion The causes of public health service del ivery insufficien cy of disease prevention and control system of China were the government financi ng insufficiency and the defective administration strategies.更多还原