【摘要】 目的调查上海市精神卫生服务的筹资状况,为完善上海市精神卫生服务财政保障机制提出政策建议。方法采用自制问卷对2008年上海市19个区(县)精神卫生中心和上海市精神卫生中心的收入(包括政府财政补助收入、医疗收入、药品收入、其他收入)和支出(包括财政专项支出、人员支出、公用支出、对个人和家庭的补助支出)情况进行调查,获得上海市2008年精神卫生机构的收入和支出情况相关数据。结果 2008年上海市精神卫生机构的收入总额为7.746 100亿元,其中政府财政补助收入、医疗收入、药品收入和其他收入分别占21.37%、48.34%、28.25%和2.04%;2008年上海市精神卫生机构的支出总额为8.633 998亿元,其中财政专项支出、人员支出、公用支出以及对个人和家庭的补助支出分别占8.45%、40.91%、47.39%和3.25%。结论上海市政府财政对精神卫生服务的投入比例较低;政府应加大对精神卫生服务的投入,建立以政府投入为主的多渠道、多方位、多层次的精神卫生服务筹资模式。更多还原

【Abstract】 Objective To investigate the financing status for mental health service in Shanghai,and provide policy advice for improvement of mental health financing mechanism in Shanghai. Methods The income status(government investment,medical income,drug income and the other income) and expenditure status(special financial expenditure,personnel expenditure,public expenditure and individual and family subsidiary expenditure) of Shanghai Mental Health Center and 19 district mental health centers of Shanghai in 2008 were investigated with self-designed questionnaires,and the data of total income and total expenditure of Shanghai mental health institutions in 2008 was obtained. Results The total income of Shanghai mental health institutions in 2008 was 774.610 0 million yuan,and government investment,medical income,drug income and the other income accounted for 21.37%,48.34%,28.25% and 2.04%,respectively.The total expenditure of Shanghai mental health institutions in 2008 was 863.399 8 million yuan,and special financial expenditure,personnel expenditure,public expenditure and individual and family subsidiary expenditure accounted for 8.45%,40.91%,47.39% and 3.25%,respectively. Conclusion The government investment in mental health service is relatively lower in Shanghai.Government should invest more in mental health service,and establish a multichannel,multidirectional and multilevel financing mode.更多还原